BOYS AND GIRLS CLUB OF PORTAGE COUNTY
NPI 1962916650
Dental Hygienist in Stevens Point, WI

Active since November 17, 2017
941 MICHIGAN AVE, STEVENS POINT, WI 54481(715) 204-1180 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Boys And Girls Club Of Portage County NPPES

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

BOYS AND GIRLS CLUB OF PORTAGE COUNTY (NPI 1962916650) is a healthcare organization registered as a dental hygienist in Stevens Point, Wisconsin and active in the NPI registry since November 2017. The organization lists Melissa Gutierrez, Smile Club Coordinator, as its authorized official.

NPPES Registry Identity

NPI1962916650
Entity TypeOrganization
Primary Taxonomy124Q00000X
Legal Business NameBOYS AND GIRLS CLUB OF PORTAGE COUNTY
Location Address941 MICHIGAN AVEStevens Point, WI 54481
Mailing AddressPo Box 171Stevens Point, WI 54481
Organization SubpartNo
Authorized OfficialMelissa GutierrezSmile Club Coordinator · (715) 204-1180
Enumeration DateNovember 17, 2017
NPI 1962916650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in WI · 10047-16
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.

941 MICHIGAN AVE, Stevens Point, WI 54481

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Clinic/Center (Dental)
941 MICHIGAN AVE
STEVENS POINT, WI 54481

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962916650, enumerated as an "organization" on November 17, 2017.

The provider is located at 941 MICHIGAN AVE STEVENS POINT, WI 54481 and the phone number is (715) 204-1180.

Dental Hygienist with taxonomy code 124Q00000X.