Cassandra De Wolfe, RDH
Individual provider Active NPI Dental Hygienist · Freedom, WI
NPI 1558036095 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1558036095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 100280716 (WI)
- Practice address
- N2781 Maloney Rd
Freedom, WI 54130-8635 - Phone
- (262) 844-1988
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100280716 | WI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 100280716 | WI | Yes |
Addresses
Primary practice location
N2781 Maloney Rd
Freedom, WI 54130-8635
Mailing address
N2781 Maloney Rd
Freedom, WI 54130-8635
Phone (262) 844-1988
Other providers in Freedom, WI
- Lucy Rose Brockman
- Brittney De Jong
- Dental Expressions SC
- Brooke Elizabeth Eberly
- Freedom School District
- Amber Louise Geiger
- Joshua Steven Haring
All providers in Freedom, WI · Dental Hygienist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.