Provider Demographics
NPI:1215484795
Name:VERNATI, CHRISTINE (DENTAL HYGIENIST)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:VERNATI
Suffix:
Gender:F
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:SPRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 EAST FOUNTAIN STREET
Mailing Address - Street 2:
Mailing Address - City:DODGEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53533-1749
Mailing Address - Country:US
Mailing Address - Phone:608-935-5550
Mailing Address - Fax:608-935-5168
Practice Address - Street 1:2901 W BELTLINE HWY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-4226
Practice Address - Country:US
Practice Address - Phone:608-443-5500
Practice Address - Fax:608-441-2385
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5818124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist