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MS. KIMBERLY BOUDREAUX RDH
NPI 1124385406
Dental Hygienist in Mount Pleasant, WI

Active since April 11, 2012
5559 DEERFIELD RD, MOUNT PLEASANT, WI 53406(262) 770-1824 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kimberly Boudreaux Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY BOUDREAUX RDH (NPI 1124385406) is an individual dental hygienist in Mount Pleasant, Wisconsin, licensed in Wisconsin (6369-016) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1124385406
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMS. KIMBERLY BOUDREAUXCredential: RDH
Location Address5559 DEERFIELD RDMount Pleasant, WI 53406-1819
Mailing Address5559 Deerfield RdMount Pleasant, WI 53406-1819 · (262) 770-1824
Phone(262) 770-1824
Sole ProprietorYes
Enumeration DateApril 11, 2012
✔ NPI 1124385406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in WI · 6369-016
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.
5559 DEERFIELD RD, Mount Pleasant, WI 53406
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Boudreaux's NPI number?

The NPI number for Kimberly Boudreaux is 1124385406. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Kimberly Boudreaux located?

Kimberly Boudreaux practices at 5559 Deerfield Rd, Mount Pleasant, WI 53406. The listed phone number is (262) 770-1824.

What is Kimberly Boudreaux's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Boudreaux was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.