MRS. SARAH J WRUCK (NPI# 1184822710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184822710 |
| Entity Type | Individual |
| Full Name | MRS. SARAH J WRUCK |
| Credential | RDH |
| Practice Address |
23140 Whitehall Road Independence WI 54747-0125 |
| Mailing Address |
26355 274th Ave Holcombe WI 54745-8765 |
| Practice Telephone | 7159852391 |
| Practice Fax Number | 7159852581 |
| Mailing Telephone | 7155954788 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5946-016 | WI | Dental Providers |
| Street Address |
23140 WHITEHALL ROAD |
| City | INDEPENDENCE |
| State | WI |
| Zip Code | 54747-0125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790817641 | County of Trempealeau | Custodial Care Facility | W21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1982736831 | County of Trempealeau | Custodial Care Facility | W 21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1255660759 | Western Dairyland Eoc | Clinic/Center | 23140 Whitehall Rd, Independence, WI 54747-7702 | 2009-12-11 |
| 1356549422 | Western Dairyland Eoc, Inc. | Dental Hygienist | 23122 Whitehall Rd, Independence, WI 54747-7702 | 2007-07-10 |
| 1518127000 | Trempealeau County Health Care Center | Custodial Care Facility | 36125 E End Rd, Independence, WI 54747-8080 | 2008-06-10 |
| 1952541013 | County of Trempealeau | Assisted Living Facility | 36125 E End Rd, Independence, WI 54747-8080 | 2009-03-03 |
| 1306899513 | County of Trempealeau | Custodial Care Facility | 23094 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-18 |
| 1548227770 | County of Trempealeau | Clinic/Center | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-01 |
| 1346794344 | Nicole Borreson | Counselor | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2016-08-08 |
| 1790929891 | Jody Erica Kroening | Registered Nurse | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2009-04-21 |
| Find all providers in zip 54747 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| 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. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508197518 | Deborah Kay Polc | Dental Hygienist | 4203 S Kerrington Dr, Independence, MO 64055-5485 | 2010-01-15 |
| 1356549422 | Western Dairyland Eoc, Inc. | Dental Hygienist | 23122 Whitehall Rd, Independence, WI 54747-7702 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1659983914 | Rachel Benck | Dental Hygienist | 1089 174th St, Hammond, WI 54015-4831 | 2020-08-18 |
| 1619594710 | Vanessa Jane Loertscher | Dental Hygienist | 103 W. Mcmillan St., Marshfield, WI 54449-3502 | 2020-07-06 |
| 1881242535 | Michelle Amanda Shalander | Dental Hygienist | 308 S 1st Street, Luck, WI 54853 | 2019-08-27 |
| 1689130437 | Theresa Marcie Mock | Dental Hygienist | 8669 Airport Rd, Middleton, WI 53562-4147 | 2019-02-18 |
| 1598229866 | Tonya Marie Evjen | Dental Hygienist | N3615 County Road G, Ladysmith, WI 54848-9389 | 2019-01-30 |
| 1922571884 | Erin Kaye Fandre | Dental Hygienist | 111 W Jackson Street, Third Floor, Wisconsin Rapids, WI 54495-3338 | 2019-01-03 |
| 1790256246 | Heather Renee Walker | Dental Hygienist | 1344 Creston Park Dr Ste 2, Janesville, WI 53545-1113 | 2018-12-10 |
| 1730657974 | Anne Chianello | Dental Hygienist | 11643 47th Ave, Pleasant Prairie, WI 53158-3618 | 2018-11-06 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 54747 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.