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BOYS AND GIRLS CLUB OF PORTAGE COUNTY NPI 1962916650


NPI Information

NPI: 1962916650
Provider Name: BOYS AND GIRLS CLUB OF PORTAGE COUNTY
Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
941 MICHIGAN AVE
STEVENS POINT, WI
ZIP 54481
Phone: (715) 204-1180
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BOYS AND GIRLS CLUB OF PORTAGE COUNTY is a dental hygienist in Stevens Point, WI. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. BOYS AND GIRLS CLUB OF PORTAGE COUNTY NPI is 1962916650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

941 MICHIGAN AVE
STEVENS POINT, WI
ZIP 54481
Phone: (715) 204-1180

The provider's authorized official is Melissa Gutierrez .
The authorized official title is Smile Club Coordinator and has the following contact phone number (715) 204-1180.

The enumeration date for this NPI number is 11/17/2017 and was last updated on 11/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental Hygienist10047-16WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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