Brooke Ashley Ash

Individual provider Active NPI Dental Hygienist · Mount Pleasant, WI

NPI 1558095786 · NPPES record last updated Jul 13, 2022

Key facts

NPI
1558095786
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
10755-16 (WI)
Practice address
1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402
Phone
(262) 223-0280
NPI assigned
Jul 13, 2022
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

LicenseStateTypeSpecialty
10755-16WIMDDental Hygienist

Interoperability endpoints

  • Direct secure messaging: brookeash83@mydentalmail.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 10755-16 WI Yes

Addresses

Primary practice location

1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402

Mailing address

12665 W 28TH PL
Beach Park, IL 60099-9735
Phone (847) 553-6898

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Brookeash83@mydentalmail.com Health Information Exchange (HIE)

Other providers in Mount Pleasant, WI

All providers in Mount Pleasant, WI · Dental Hygienist in Wisconsin

Sources for this page

Verify at the official NPI Registry.