QUIRT FAMILY DENTISTRY, SC (NPI# 1124569181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124569181 |
| Entity Type | Organization |
| Organization Name | QUIRT FAMILY DENTISTRY, SC |
| Other Organization Name | DENTAL CARE OF GRAFTON |
| Practice Address |
1580 Port Washington Road Grafton WI 53024 |
| Practice Telephone | 2626711969 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUIRT FAMILY DENTISTRY, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of Grafton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1700251725 | Quirt Family Dentistry, Sc | Dentist | 5401 Caddis Bnd, Unit B, Fitchburg, WI 53711-7122 | 2015-12-02 |
| 1225447436 | Quirt Family Dentistry, Sc | Dentist | 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 | 2014-08-13 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1891117495 | Quirt Family Dentistry, Sc | Dentist | 10288 77th St, Suite 300, Pleasant Prairie, WI 53158-1142 | 2014-01-16 |
| 1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
| 1417384249 | Quirt Family Dentistry, Sc | Dentist | 8907 S Howell Ave, Oak Creek, WI 53154-4460 | 2013-10-12 |
| 1922442300 | Quirt Family Dentistry, Sc | Dentist | 3813 E Calumet St, Appleton, WI 54915-4158 | 2013-04-29 |
| 1871869222 | Quirt Family Dentistry, Sc | Dentist | 2812 E Main St, Merrill, WI 54452-3470 | 2012-03-30 |
| 1881969384 | Quirt Family Dentistry, Sc | Dentist | 107 S 3rd Ave, Edgar, WI 54426-9282 | 2012-03-16 |
| Street Address |
1580 PORT WASHINGTON ROAD |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| 1134373368 | Janine I. Herman | Respiratory Therapist, Certified | 11649 N. Port Washington Rd # 109, Endeavor Therapy, Mequon, WI 53024 | 2008-11-14 |
| Find all providers in zip 53024 | ||||
| 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 |
|---|---|---|---|---|
| 1174152235 | Smile Solutions | Dentist | 11760 Castleton Ln, Grafton, OH 44044-9792 | 2020-04-02 |
| 1265918536 | Rasha Hamouri | Dentist | 4310 George Washington Mem Hwy Ste A, Grafton, VA 23692-2880 | 2018-07-19 |
| 1598187247 | Sweet Smiles Grafton LLC | Dentist | 1300 Bridge St, Grafton, WI 53024-1948 | 2014-01-15 |
| 1093868671 | Scott C Wirth | Dentist | 1308 12th Ave, Grafton, WI 53024-1926 | 2007-01-18 |
| 1609940360 | Joseph C Kern | Dentist | 21 W 5th St, Grafton, ND 58237-1468 | 2006-11-17 |
| 1083705677 | Thomas R. Geary Jr. | Dentist | 105 Terrebonne Rd, Grafton, VA 23692-4817 | 2006-09-27 |
| 1265443626 | Delp S Schafer | Dentist | 1525 Wisconsin Ave, Grafton, WI 53024-1975 | 2006-08-11 |
| 1861408668 | Scott James Golrich | Dentist | 4030-a George Wash. Hwy, Grafton, VA 23692 | 2006-08-01 |
| 1972529519 | Kurt R. Kwiatkowski | Dentist | 1200 Seventeenth Avenue, Grafton, WI 53024 | 2006-07-15 |
| 1508842345 | John William Byers | Dentist | 122 Yates Ave, Grafton, WV 26354-1611 | 2005-12-22 |
| Find all providers in GRAFTON | ||||
Please comment or provide details below to improve the information on QUIRT FAMILY DENTISTRY, SC.
| 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.