Stacey Lee Bisenius in Lakewood - Dental Hygienist
Stacey Lee Bisenius - NPI 1386708378
Stacey Lee Bisenius is a Dental Hygienist in Lakewood, Wisconsin. Stacey Lee Bisenius practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Stacey Lee Bisenius is 1386708378. The last update date is 2007-07-08.
Stacey Lee Bisenius's current location address is 15397 State Hwy 32, Lakewood, Wisconsin. You can contact this provider via phone number 7152766321. The mailing address for Stacey Lee Bisenius is 15397 State Hwy 32, Lakewood, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacey Lee Bisenius |
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Address | 15397 State Hwy 32, Lakewood, Wisconsin |
Phone Number | 7152766321 |
Fax Number | |
Sole Proprietor | N |
Credentials | R.D.H. |
NPI Number Detail
NPI Number | 1386708378 |
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Provider Enumeration Date | 2006-12-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 15397 State Hwy 32 |
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City | Lakewood |
State | Wisconsin (WI) |
Post Code | 54138 |
Phone Number | 7152766321 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dental Hygienist |
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Taxonomy | 124Q00000X |
Licence No | 6563016 |
Definition: 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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
33805900 | WI | -- |
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What is the unique 10-digit identification code issued to Stacey Lee Bisenius by the Centers for Medicare & Medicaid Services?
The Stacey Lee Bisenius has been assigned the NPI (National Provider Identifier) 1386708378 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Stacey Lee Bisenius located?
The Stacey Lee Bisenius is located at 15397 State Hwy 32, Lakewood, WI 54138.
What is the Stacey Lee Bisenius's area of specialization and corresponding taxonomy classification?
The Stacey Lee Bisenius's specialty field is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Stacey Lee Bisenius receive the assignment of its 1386708378 from the Centers for Medicare & Medicaid Services?
The Stacey Lee Bisenius was issued its 1386708378 by the Centers for Medicare & Medicaid Services on 2006-12-21.
When was the information regarding Stacey Lee Bisenius most recently updated?
The details pertaining to the Stacey Lee Bisenius, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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