IndividualActive
Amy Larson, RDH
NPI 1720119845 · Dental Hygienist · Green Bay, WI
Provider details
- NPI number
- 1720119845
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 4743 (WI)
Specialties & taxonomies
Dental Providers
Practice location
1400 Lombardi Ave
Suite 50
Green Bay, WI 54304-3922
Phone: (920) 498-8877
Fax: (920) 498-8941
Approximate (ZIP-level) locationGet directions
Mailing address
1408 Spring St
Sobieski, WI 54171-9717
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.