MEDICARE: MRS. ANNE ELIZABETH HVIZDAK RDH, CDHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	3187-016	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215148804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE ELIZABETH HVIZDAK RDH, CDHC

Provider Business Mailing Address
First Line	:	3104 E LAKE HELEN DR
Second Line	:
City	:	ROSHOLT
State	:	WI
Zip	:	54473-8876
Country	:	US
Telephone Number	:	715-677-3509
Fax Number	:	715-677-3037

Provider Business Practice Location Address
First Line	:	3104 E LAKE HELEN DR
Second Line	:
City	:	ROSHOLT
State	:	WI
Zip	:	54473-8876
Country	:	US
Telephone Number	:	715-677-3509
Fax Number	:	715-677-3037

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1093995383 — ROSHOLT SCHOOL DISTRICT
Practice Location Address:

346 W RANDOLPH ST
ROSHOLT, WI
54473-9547

Practice Phone: 715-677-4542
Practice Fax:

1275778078 — GUARDIAN HOMES, INC.
Practice Location Address:

10231 PENNY LAKE RD
ROSHOLT, WI
54473-8862

Practice Phone: 715-677-4625
Practice Fax:

1033354345 — GUARDIAN PROPERTIES OF WISCONSIN
Practice Location Address:

10231 PENNY LAKE RD
ROSHOLT, WI
54473-8862

Practice Phone: 715-677-4625
Practice Fax:

1104103431 — MRS. SALLY A CONWAY MS CCC-SLP, NHA
Practice Location Address:

200880 CANOPY LN
ROSHOLT, WI
54473-6705

Practice Phone: 715-439-3084
Practice Fax:

1518470475 — ROSHOLT AREA DENTAL CLINIC, LLC
Practice Location Address:

247 DEPOT ST
ROSHOLT, WI
54473-9710

Practice Phone: 715-677-3202
Practice Fax:

1720595366 — 3D HEALTHCARE CONSULTING LLC
Practice Location Address:

200880 CANOPY LN
ROSHOLT, WI
54473-6705

Practice Phone: 715-439-3084
Practice Fax:

Directions to “ MRS. ANNE ELIZABETH HVIZDAK RDH, CDHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.