Julie A Kastelitz, RDH
Individual provider Active NPI Dental Hygienist · Prairie Du Sac, WI
NPI 1780943282 · NPPES record last updated May 4, 2012
Key facts
- NPI
- 1780943282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 3244-16 (WI)
- Practice address
- 1250 Prairie St
Prairie Du Sac, WI 53578-2041 - Phone
- (608) 643-8393
- Fax
- (608) 643-8097
- NPI assigned
- May 4, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 3244-16 | WI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Dental Assocs. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3244-16 | WI | Yes |
Addresses
Primary practice location
1250 Prairie St
Prairie Du Sac, WI 53578-2041
Mailing address
1250 Prairie St
Prairie Du Sac, WI 53578-2041
Phone (608) 643-8393
Other providers in Prairie Du Sac, WI
- Colleen L Jarema
- Curtis N Johnson
- Mary E Johnson
- Kenneth Gordon Kalinowski
- Christina L Karg
- Bryant Randall Kearney
- Holly J Kindschi
- Lori E King
- Breana Kirch
- Bruce M Koch
All providers in Prairie Du Sac, 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 May 4, 2012. 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.