Katie Ann Dvorak
Dental Hygienist
711 W Moreland Blvd Ste 204
Waukesha
, Wisconsin 53188-2483
Katie Ann Dvorak
Dental Hygienist
711 W Moreland Blvd Ste 204
Waukesha
, Wisconsin 53188-2483
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Katie Ann Dvorak
- 711 W Moreland Blvd Ste 204
- Waukesha, WI
- Zip : 53188-2483
- Phone :
Second Address
- Katie Ann Dvorak
- 711 W Moreland Blvd Ste 204
- Waukesha, WI
- Zip : 53188-2483
- Phone : (262) 896-9891
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Is Katie Ann Dvorak a sole practitioner?
Is Katie Ann Dvorak accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 6662-16 | WI |
National Provider Identifier
| NPI | 1033767769 |
|---|---|
| Provider Name | Katie Ann Dvorak |
| First Address | Waukesha, WI 53188-2483 |
| Second Address | Waukesha, WI 53188-2483 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2019 |
| Last Update Date | 27/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.