Provider Demographics
NPI:1841908860
Name:FINNEL, CHERYL ANN (RDH)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:FINNEL
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:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:MISHICOT
Mailing Address - State:WI
Mailing Address - Zip Code:54228-0203
Mailing Address - Country:US
Mailing Address - Phone:920-323-9813
Mailing Address - Fax:
Practice Address - Street 1:BRIDGE COMMUNITY HEALTH CENTER
Practice Address - Street 2:1111 LANGLADE RD
Practice Address - City:ANTIGO
Practice Address - State:WI
Practice Address - Zip Code:54409
Practice Address - Country:US
Practice Address - Phone:715-627-4383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6106-16124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty