Provider Demographics
NPI:1972023141
Name:HEHLI, EMILY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:M
Last Name:HEHLI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 ROYAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-9218
Mailing Address - Country:US
Mailing Address - Phone:715-855-9220
Mailing Address - Fax:
Practice Address - Street 1:4605 ROYAL DR
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-2928
Practice Address - Country:US
Practice Address - Phone:715-855-9220
Practice Address - Fax:715-855-9225
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1001547122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist