MRS. ERIN KAYE FANDRE


Address: 111 W Jackson Street, Third Floor, Wisconsin Rapids, WI 54495-3338
Phone: 9206397384

MRS. ERIN KAYE FANDRE (NPI# 1922571884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922571884
Entity Type Individual
Full Name MRS. ERIN KAYE FANDRE
Other Name MS. ERIN KAYE MARCUSEN
Credential RDH
Practice Address 111 W Jackson Street
Third Floor
Wisconsin Rapids
WI 54495-3338
Practice Telephone 9206397384
Mailing Telephone 9206397384
Enumeration Date 2019-01-03
Last Update Date 2019-01-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 1002546-16 WI Dental Providers

Office Location

Street Address 111 W JACKSON STREET
THIRD FLOOR
City WISCONSIN RAPIDS
State WI
Zip Code 54495-3338

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1306495106 Jane Kommer Technician 1641 Boles Street, Wisconsin, WI 54495 2019-09-05
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy 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 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366656985 Wendy Ruesch Dental Hygienist 184 2nd St N, Wisconsin Rapids, WI 54494-4162 2007-05-10

Providers in the same taxonomy and state

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
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
1366923864 Naomi Johns Dental Hygienist W8993 County Road Ss, Adell, WI 53001-1443 2018-08-23
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Competitor

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City WISCONSIN RAPIDS
Zip Code 54495

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Dataset Information

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.

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