DR. THOMAS J KVANBECK (NPI# 1104954437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104954437 |
| Entity Type | Individual |
| Full Name | DR. THOMAS J KVANBECK |
| Credential | DDS |
| Practice Address |
16 E Bayfield St 16 E Bayfield St Washburn WI 54891-4401 |
| Mailing Address |
Po Box 265 16 E Bayfield St. Washburn WI 54891-0265 |
| Practice Telephone | 7153732612 |
| Mailing Telephone | 7153732612 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2784 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33427800 | 05 |
| Street Address |
16 E BAYFIELD ST 16 E BAYFIELD ST |
| City | WASHBURN |
| State | WI |
| Zip Code | 54891-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639190143 | David Jennings Blong | Dentist | 16 E Bayfield St, Washburn, WI 54891-4401 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861405 | Brooke Ruberg | Speech-Language Pathologist | Northern Lights Services Inc, 706 Bratley Drive, Washburn, WI 54891 | 2018-11-27 |
| 1336619972 | Mikayla Janice Ritola | Occupational Therapy Assistant | Northern Lights Services, Inc 706 Bratley Drive, Washburn, WI 54891 | 2018-11-27 |
| 1427482520 | Katherine U. Martin | Registered Nurse | 29600 Nolander Rd., Washburn, WI 54891 | 2013-08-26 |
| 1649501214 | Sherry Ann Fowler | Ophthalmology | 27645 South Maple Hill Rd, Washburn, WI 54891 | 2010-01-21 |
| 1912174616 | Tammy Lynn Gustafson | Occupational Therapist | 706 Bratley Drive, Washburn, WI 54891 | 2008-05-12 |
| 1063550820 | City of Washburn | Emergency Medical Technician, Basic | 119 Washington Ave., Washburn, WI 54891 | 2007-02-02 |
| 1568522704 | Brownstone Rx | Pharmacy | 114 West Bayfield Street, Washburn, WI 54891 | 2006-12-11 |
| 1932436789 | Christie Iva Gustafson | Physical Therapy Assistant | 706 Bratley Drive, Washburn, WI 54891 | 2009-11-13 |
| 1366416539 | Stephen Robert Kreuser | General Practice | 320 Superior Ave, Washburn, WI 54891 | 2006-02-15 |
| 1821294539 | Harbor North Counseling | Social Worker | 14 East Bayfield St, Washburn, WI 54891-0003 | 2007-06-21 |
| Find all providers in zip 54891 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.