Nikki Lee Frisch, RDH
Individual provider Active NPI Dental Hygienist · Marshall, WI
NPI 1821386780 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1821386780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 10899-016 (WI)
- Practice address
- 964 County Road T
Marshall, WI 53559-9735 - Phone
- (608) 988-6472
- NPI assigned
- Jul 13, 2011
- 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 |
|---|---|---|---|
| 10899-016 | WI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10899-016 | WI | Yes |
Addresses
Primary practice location
964 County Road T
Marshall, WI 53559-9735
Mailing address
964 County Road T
Marshall, WI 53559-9735
Phone (608) 988-6472
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821386780 | Medicaid | WI |
Other names
- Nikki Lee Martin
Other providers in Marshall, WI
- Cindy Brosig
- Valinda Butson
- Sandra Carmen Canon
- Maxwell Clark
- Dane County EMS District No 14
- Laura Gillis
- Tiffany Chanel Gray
- Kim Lee Hackett
- Christine Haugen
- Kathleen Homan
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 26, 2022. 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.