Provider Demographics
NPI:1154064434
Name:SCHISSLER, LYNDA LEE (RDH)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:LEE
Last Name:SCHISSLER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10130 S SHEPARD AVE
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-5750
Mailing Address - Country:US
Mailing Address - Phone:262-945-0393
Mailing Address - Fax:
Practice Address - Street 1:10130 S SHEPARD AVE
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-5750
Practice Address - Country:US
Practice Address - Phone:262-945-0393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5483124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist