Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boys and Girls Club of Portage County

Organization Dental Hygienist · NPI 1962916650

Boys and Girls Club of Portage County is a Dental Hygienist in Stevens Point, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017

Practice location Address checks out

941 Michigan Ave
Stevens Point, WI 54481
Phone: (715) 204-1180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 10047-16 (WI)

Record details

NPI number1962916650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Gutierrez — Smile Club Coordinator · (715) 204-1180
NPI enumeratedNovember 17, 2017
Last updated in NPPESNovember 17, 2017
Mailing addressPo Box 171, Stevens Point, WI 54481

Other providers in Stevens Point