PRESCOTT FAMILY DENTAL


Address: 1015 Campbell St N, Prescott, WI 54021-1157
Phone: 7152623382

PRESCOTT FAMILY DENTAL (NPI# 1093113789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093113789
Entity Type Organization
Organization Name PRESCOTT FAMILY DENTAL
Practice Address 1015 Campbell St N
Prescott
WI 54021-1157
Practice Telephone 7152623382
Practice Fax Number 7152623063
Mailing Telephone 7152623382
Mailing Fax Number 7152623063
Enumeration Date 2014-12-11
Last Update Date 2018-03-08
Authorized Official Name CASSIE LYNN ERICKSON (OFFICE MANAGER)
Authorized Official Telephone 7152623382
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
3523 WI Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
6932 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 33478900 05
WI 100024073 05

Office Location

Street Address 1015 CAMPBELL ST N
City PRESCOTT
State WI
Zip Code 54021-1157

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144320193 Michael Joseph Toninato Dentist 1015 Campbell St N, Prescott, WI 54021-1157 2006-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922104801 Gerald Otto Gatzke Dentist 127 Broad St N, Prescott, WI 54021-0000 2006-09-16
1336328038 School District of Prescott Local Education Agency (LEA) 1220 Saint Croix St, Prescott, WI 54021-1042 2007-10-30
1336407386 Hillary Jane Hunter Dentist 1267 Walnut St, Prescott, WI 54021-1060 2012-04-27
1922090521 Ccg Prescott, Inc Skilled Nursing Facility 1505 Orrin Rd, Prescott, WI 54021-1074 2005-08-19
1467051714 Rebekah Kimlinger Physical Therapist 1505 Orrin Rd, Prescott, WI 54021-1074 2020-10-19
1548886278 Sara Michele Jenkins Occupational Therapy Assistant 1505 Orrin Rd, Prescott, WI 54021-1074 2020-06-18
1245700624 Caitlin Ann Johnson Occupational Therapy Assistant 1505 Orrin Rd, Prescott, WI 54021-1074 2018-11-28
1164991980 Sarah Hei Occupational Therapist 1505 Orrin Rd, Prescott, WI 54021-1074 2018-11-21
1861960791 Janna M Johnson Physical Therapist 1505 Orrin Rd, Prescott, WI 54021-1074 2018-11-08
1124528393 Morgan Lee Williamson Occupational Therapy Assistant 1505 Orrin Rd, Prescott, WI 54021-1074 2018-02-14
Find all providers in zip 54021

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730664475 Smiles of Arkansas Dental Center, Pllc Dentist 1495 W 1st St N, Prescott, AR 71857-3340 2018-09-28
1861985566 Joshua Michael Allen Dentist 815 Gail Gardner Way Ste B, Prescott, AZ 86305-1800 2018-06-07
1790159853 Michele A. Bibeau, D.d.s. Dentist 1058 Fair Street, Suite A, Prescott, AZ 86305 2015-11-30
1902245434 Tori Balbos Dentist 3765 Crossings Dr, Suite A, Prescott, AZ 86305-7121 2013-06-18
1336407386 Hillary Jane Hunter Dentist 1267 Walnut St, Prescott, WI 54021-1060 2012-04-27
1255564506 An Elegant Smile P.C. Dentist 980 Willow Creek Rd Ste 103, Prescott, AZ 86301-1619 2009-09-02
1083880082 Mark Hayden Dentist 350 Whipple St, Prescott, AZ 86301-1714 2008-04-30
1073791919 Keith L Rosdahl Dentist 1959 Commerce Center Cir., Prescott, AZ 86301 2008-02-02
1053517185 Michele A Bibeau Dentist 1058 Fair St Ste A, Prescott, AZ 86305-1803 2007-06-25
1558564997 Gene Allen Dentist 680 Gail Gardner Way, Prescott, AZ 86305-2335 2007-06-05
Find all providers in PRESCOTT

Competitor

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City PRESCOTT
Zip Code 54021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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