IndividualActive
Angela Kussow, RDH
NPI 1790102143 · Dental Hygienist · Dodgeville, WI
Provider details
- NPI number
- 1790102143
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5616-16 (WI)
Specialties & taxonomies
Dental Providers
Practice location
103 E. Fountain St.
Dodgeville, WI 53533-1749
Phone: (608) 935-5550
Fax: (608) 935-5168
Approximate (ZIP-level) locationGet directions
Mailing address
2901 W Beltline Hwy
Madison, WI 53713-4226
Registry dates
- Enumerated
- 2014-03-24
- Last updated
- 2014-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.