Provider Demographics
NPI:1477283745
Name:TROSHYNSKI, MADISON LEIGH (RDH)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:LEIGH
Last Name:TROSHYNSKI
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 1:212 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WILBER
Mailing Address - State:NE
Mailing Address - Zip Code:68465-3251
Mailing Address - Country:US
Mailing Address - Phone:402-821-7790
Mailing Address - Fax:
Practice Address - Street 1:212 W 8TH ST
Practice Address - Street 2:
Practice Address - City:WILBER
Practice Address - State:NE
Practice Address - Zip Code:68465-3251
Practice Address - Country:US
Practice Address - Phone:402-821-7790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2990124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty