DR. RICHARD H TETEAK (NPI# 1104944008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104944008 |
| Entity Type | Individual |
| Full Name | DR. RICHARD H TETEAK |
| Practice Address |
502 River Pl Monona WI 53716-4033 |
| Mailing Address |
5104 Maywood Rd Monona WI 53716-2525 |
| Practice Telephone | 6082229146 |
| Practice Fax Number | 6082228164 |
| Mailing Telephone | 6082229146 |
| Mailing Fax Number | 6082228164 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5001914 | WI | Dental Providers |
| Street Address |
502 RIVER PL |
| City | MONONA |
| State | WI |
| Zip Code | 53716-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205983699 | William Howard Wilcox | Dentist | 502 River Pl, Monona, WI 53716-4033 | 2007-01-05 |
| 1033542949 | Monona Dental II, LLC | Dentist | 502 River Pl, Monona, WI 53716-4033 | 2013-08-14 |
| 1659492817 | Kathryn Giswold | Dentist | 502 River Pl, Monona, WI 53716-4033 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821264300 | Monona Riverplace Dental, LLC | Dentist | 604 River Pl, Monona, WI 53716-4034 | 2008-05-05 |
| 1568524825 | Complete Family Dentistry of Madison LLC | Dentist | 4925 Monona Dr, Monona, WI 53716-2634 | 2006-12-14 |
| 1104913730 | William A Lee | Dentist | 802 W Broadway, #320, Monona, WI 53713-1821 | 2006-10-06 |
| 1003919135 | Northeast Iowa Dental Professional Corporation | Dentist | 101 Franklin, Monona, IA 52159 | 2006-09-06 |
| 1730125493 | Kendra Schaefer | Dentist | 612 River Pl, Monona, WI 53716-4034 | 2006-06-21 |
| 1225352883 | Joann Marie Miller | Dentist | 100 River Pl, Monona, WI 53716-4041 | 2010-03-25 |
| 1952531741 | Gregory Wipperfurth | Dentist | 100 River Pl, Suite 220, Monona, WI 53716-4041 | 2009-07-15 |
| 1659492817 | Kathryn Giswold | Dentist | 502 River Pl, Monona, WI 53716-4033 | 2007-04-03 |
| 1922122100 | Grace Yang Wenham | Dentist | 100 River Pl, Suite 110, Monona, WI 53716-4041 | 2007-03-16 |
| 1063574408 | Robert Charles Knutson | Dentist | 4925 Monona Dr, Monona, WI 53716-2634 | 2006-12-14 |
| Find all providers in MONONA | ||||
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| 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.