1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Dental Hygienist
  6. NPI Profile

LISA SUE RISTAU RDH
NPI 1952476632
Dental Hygienist in Kenosha, WI

Active since November 21, 2006
4536 22ND AVE, KENOSHA, WI 53140(262) 656-0044(262) 653-2218 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Sue Ristau Rdh NPPES

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

LISA SUE RISTAU RDH (NPI 1952476632) is an individual dental hygienist in Kenosha, Wisconsin, licensed in Wisconsin (6917-016) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1952476632
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameLISA SUE RISTAUCredential: RDH
Location Address4536 22ND AVEKenosha, WI 53140-5917
Mailing Address4607 19th Ave LowrKenosha, WI 53140-3249 · (262) 705-6789
Phone(262) 656-0044
Fax(262) 653-2218
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1952476632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in WI · 6917-016
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.
4536 22ND AVE, Kenosha, WI 53140
Open in Google Maps ↗

Other Identifiers 1

Medicaid33805500WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CESAR D GONZALEZ DDS
Dentist (Pediatric Dentistry)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DIANE E KOSAR
Dental Hygienist
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. HAZEL E MOORE DDS
Dentist (General Practice)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. MICHAEL MATTHEW MIHAJLOVIC PSYD
Psychologist (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
MANUEL A. RIVERA M.D.
Internal Medicine
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
FAYA KACOS-SHIU LCSW
Social Worker (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
CASSANDRA GILLEN LPC
Counselor (Professional)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
KENOSHA COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044

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 Lisa Ristau's NPI number?

The NPI number for Lisa Ristau is 1952476632. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Lisa Ristau located?

Lisa Ristau practices at 4536 22nd Ave, Kenosha, WI 53140. The listed phone number is (262) 656-0044.

What is Lisa Ristau'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 Lisa Ristau was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.