MATC DENTAL HYGIENE CLINIC (NPI# 1881842672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881842672 |
| Entity Type | Organization |
| Organization Name | MATC DENTAL HYGIENE CLINIC |
| Practice Address |
211 N Carroll St Madison WI 53703-2211 |
| Practice Telephone | 6082582400 |
| Mailing Telephone | 6082582400 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | E. LYNN GOETSCH (CLINIC SUPERVISOR) |
| Authorized Official Telephone | 6082582470 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38382500 | 05 |
| Street Address |
211 N CARROLL ST |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891071932 | Tammy Downing | Dental Hygienist | 211 N Carroll St, #501, Madison, WI 53703-2211 | 2011-11-02 |
| 1508000688 | Elizabeth Lynn Goetsch | Dental Hygienist | 211 N Carroll St, Madison, WI 53703-2211 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| 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 |
|---|---|---|---|---|
| 1285142612 | Madelyn Miller | Dental Hygienist | 4706 Cottage Grove Rd Ste 400, Madison, WI 53716-1354 | 2018-01-19 |
| 1982952701 | Morgan K Christianson | Dental Hygienist | 4706 Cottage Grove Rd., Ste. 400, Madison, WI 53716-1354 | 2012-08-28 |
| 1821386780 | Nikki Lee Frisch | Dental Hygienist | 1710 Golden Oak Ln, Madison, WI 53711-3309 | 2011-07-13 |
| 1891935102 | Debra A Chase | Dental Hygienist | 2705 E Washington Ave, Madison, WI 53704-5002 | 2009-02-26 |
| 1710163563 | Kimberly S Varian | Dental Hygienist | 5122 Pepin Pl, Madison, WI 53705-4723 | 2008-01-10 |
| 1124185400 | Kathleen Traut | Dental Hygienist | 1733 Melrose St, Madison, WI 53704-3323 | 2007-01-03 |
| 1376176537 | Anna Wineland | Dental Hygienist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2020-02-17 |
| 1184197477 | Tara L Zalesak | Dental Hygienist | 630 E Washington Ave, Madison, WI 53703-2917 | 2019-01-09 |
| 1275023673 | Debra L Sylvain | Dental Hygienist | 17 Jones St, Madison, ME 04950-1504 | 2018-05-11 |
| 1053832915 | Afi Assignon | Dental Hygienist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2017-06-30 |
| Find all providers in MADISON | ||||
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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.