Provider Demographics
NPI:1063374072
Name:AURORA DENTAL HYGIENE, INC.
Entity type:Organization
Organization Name:AURORA DENTAL HYGIENE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/DENTAL HYGIENIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:POGUE
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:920-626-8881
Mailing Address - Street 1:611 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:WI
Mailing Address - Zip Code:53925-1434
Mailing Address - Country:US
Mailing Address - Phone:920-626-8881
Mailing Address - Fax:
Practice Address - Street 1:611 FRANKLIN ST
Practice Address - Street 2:MOBILE CLINIC'S HOME BASE.
Practice Address - City:COLUMBUS
Practice Address - State:WI
Practice Address - Zip Code:53925-1434
Practice Address - Country:US
Practice Address - Phone:920-626-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-27
Last Update Date:2025-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental