IndividualActive
Alissa Lange, DENTAL HYGIENIST
NPI 1215543004 · Dental Hygienist · Boscobel, WI
Provider details
- NPI number
- 1215543004
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- DENTAL HYGIENIST
- Sex
- Female
- Sole proprietor
- No
- License
- 6282-16 (WI)
Specialties & taxonomies
Dental Providers
Practice location
105 E Bluff St
Boscobel, WI 53805-1610
Phone: (608) 654-5100
Fax: (608) 654-5120
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 39
Cashton, WI 54619-0039
Registry dates
- Enumerated
- 2020-09-17
- Last updated
- 2020-09-17
- Certified
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.