Healthcare Provider Details

I. General information

NPI: 1538506712
Provider Name (Legal Business Name): JENNIFER ANN FEHRMAN ROLOFF DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 SCHOFIELD AVE
SCHOFIELD WI
54476-2360
US

IV. Provider business mailing address

162929 TALIESIN WAY
WESTON WI
54476-7537
US

V. Phone/Fax

Practice location:
  • Phone: 715-359-1910
  • Fax: 715-355-1815
Mailing address:
  • Phone: 715-571-1096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number7061-15
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: