KATHLEEN ANN REVELLO RDH
NPI 1669117495
Dental Hygienist in Verona, WI

Active since May 05, 2022
1100 E VERONA AVE, VERONA, WI 53593(608) 845-6601(608) 845-1264 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathleen Ann Revello Rdh NPPES

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

KATHLEEN ANN REVELLO RDH (NPI 1669117495) is an individual dental hygienist in Verona, Wisconsin, licensed in Wisconsin (4036-16) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1669117495
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameKATHLEEN ANN REVELLOCredential: RDH
Location Address1100 E VERONA AVEVerona, WI 53593-8717
Mailing Address1100 E Verona AveVerona, WI 53593-8717 · (608) 845-6601 · Fax (608) 845-1264
Fax(608) 845-1264
Sole ProprietorYes
Enumeration DateMay 5, 2022
NPPES CertifiedMay 5, 2022
NPI 1669117495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in WI · 4036-16
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.

1100 E VERONA AVE, Verona, WI 53593

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Occupational Therapist
1100 E VERONA AVE
VERONA, WI 53593
Physical Therapy Assistant
1100 E VERONA AVE
VERONA, WI 53593
Occupational Therapy Assistant
1100 E VERONA AVE
VERONA, WI 53593
Physical Therapy Assistant
1100 E VERONA AVE
VERONA, WI 53593
Dentist (General Practice)
1100 E VERONA AVE
VERONA, WI 53593
Physical Therapy Assistant
1100 E VERONA AVE
VERONA, WI 53593
Technician/Technologist
1100 E VERONA AVE
VERONA, WI 53593
Skilled Nursing Facility
1100 E VERONA AVE
VERONA, WI 53593

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669117495, enumerated as an "individual" on May 05, 2022.

The provider is located at 1100 E VERONA AVE VERONA, WI 53593 and the phone number is (608) 845-6601.

Dental Hygienist with taxonomy code 124Q00000X.