Tanya Kok, RDH
Individual provider Active NPI Dental Hygienist · Marshall, WI
NPI 1649752247 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1649752247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 5427-16 (WI)
- Practice address
- 964 County Road T
Marshall, WI 53559 - Phone
- (608) 988-6472
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 5427-16 | WI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5427-16 | WI | Yes |
Addresses
Primary practice location
964 County Road T
Marshall, WI 53559
Mailing address
964 County Road T
Marshall, WI 53559-9735
Phone (608) 988-6472
Other providers in Marshall, WI
- Christine Haugen
- Kathleen Homan
- Lisa Huffer
- Denise M James
- JT School Dist 2 Village of Marshall Et Al
- Tashina Kroll
- Litang Chiropractic SC
- Jessie Lauren Maddock
- Adam Manos
- Marshall Pharmacy
All providers in Marshall, 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 30, 2018. 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.