NPI 1104191261

Tasha Rae Hughbanks, RDH

Practitioner Dental Hygienist Prairie Du Sac, WI

Practice location

Address: 1906 North St, Prairie Du Sac, WI 53578-1148
Phone: (608) 644-0504
Mailing address: 245 6th St, Prairie Du Sac, WI 53578-1315

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 10702-016 (WI)

Other Dental Hygienist providers in Wisconsin →

Registry record

NPI: 1104191261
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2012
Record last updated: 21 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.