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Ms. Debra Lee Mickelson, RDH
Dental Hygienist in Menasha, Wisconsin
NPI 1760783807

Debra Lee Mickelson is a Dental Hygienist based in Menasha, WI. Debra Lee Mickelson practices in Menasha, WI and has the professional credentials of RDH. The NPI Number for Debra Lee Mickelson is 1760783807 and holds a License No. 10011956 (Wisconsin).

The current practice location address for Debra Lee Mickelson is 1814 Appleton Rd, Menasha, WI and can be reached out via phone at 920-731-7445 and via fax at 920-731-7490.

Location: 1814 Appleton Rd, Menasha, WI, 54952-1110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760783807
Provider Name
Debra Lee Mickelson
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
1814 Appleton Rd, Menasha, WI, 54952-1110
Phone Number
920-731-7445
Fax Number
920-731-7490
Provider Enumeration Date
11/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1001956 01 WI WISCONSIN HYGIENE LICENSE
institution
Provider Business Practice Location Address Details
Address
1814 Appleton Rd
City
Menasha
State
Wisconsin
Zip
54952-1110
Phone Number
920-731-7445
Fax Number
920-731-7490
person
Provider Business Mailing Address Details
Address
1814 Appleton Rd
City
Menasha
State
Wisconsin
Zip
54952-1110
Phone Number
920-731-7445
Fax Number
920-731-7490
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
10011956 (Wisconsin)
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.
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