MS. LAURA LEICHTENBERG (NPI# 1982033619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982033619 |
| Entity Type | Individual |
| Full Name | MS. LAURA LEICHTENBERG |
| Credential | RDH |
| Practice Address |
3434 E Washington Ave Madison WI 53704-4155 |
| Mailing Address |
2901 W Beltline Hwy Suite 120 Madison WI 53713-4226 |
| Practice Telephone | 6084435480 |
| Practice Fax Number | 6084435554 |
| Mailing Telephone | 6084435500 |
| Mailing Fax Number | 6084412385 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5241-16 | WI | Dental Providers |
| Street Address |
3434 E WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53704-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699723080 | Sarah T Kruger | Nurse Practitioner | 3434 E Washington Ave, Madison, WI 53704-4155 | 2006-05-05 |
| 1376176537 | Anna Wineland | Dental Hygienist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2020-02-17 |
| 1578122545 | Cassandra Ann Hainer | Dentist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2019-06-12 |
| 1710470422 | Kelsey Henriquez | Physician Assistant | 3434 E Washington Ave, Madison, WI 53704-4155 | 2018-06-08 |
| 1174037329 | Laboratory Corporation of America | Clinical Medical Laboratory | 3434 E Washington Ave, Madison, WI 53704-4155 | 2017-11-27 |
| 1053832915 | Afi Assignon | Dental Hygienist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2017-06-30 |
| 1447770151 | Alicia A Bush | Dentist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2017-06-23 |
| 1366982514 | Christopher J Pearce | Dentist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2017-03-06 |
| 1598126625 | Melissa Thompson | Dental Hygienist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2016-03-17 |
| 1073913216 | Adina A. Ness | Dentist | 3434 E Washington Ave, Madison, WI 53704-4155 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| 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.