CURTIS R. HEBDON, D.D.S., S.C. (NPI# 1134600448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134600448 |
Entity Type | Organization |
Organization Name | CURTIS R. HEBDON, D.D.S., S.C. |
Other Organization Name | KAUKAUNA FAMILY DENTISTRY |
Practice Address |
233 Dodge St Kaukauna WI 54130-2500 |
Practice Telephone | 9207669542 |
Mailing Telephone | 9207669542 |
Enumeration Date | 2018-08-24 |
Last Update Date | 2018-08-24 |
Authorized Official Name | DR. CURTIS R. HEBDON (PRACTICE OWNER) |
Authorized Official Telephone | 9207669542 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1001802-15 | WI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Kaukauna Family Dentistry | Doing Business As Name - Organization |
Street Address |
233 DODGE ST |
City | KAUKAUNA |
State | WI |
Zip Code | 54130-2500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508957523 | William J. Farrow | Dentist | 233 Dodge St, Kaukauna, WI 54130-2500 | 2006-09-27 |
1073604013 | Kaukauna Family Dentistry, S.c. | Dentist | 233 Dodge St, Kaukauna, WI 54130-2500 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194194209 | Kasey Trunk | Specialist/Technologist | W892 Hwy 96, Kaukauna, WI 54130 | 2015-09-18 |
1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
1578529863 | Gregory A Johnson | Family Medicine | 305 East 12th Street, Kaukauna, WI 54130 | 2006-04-25 |
1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
1023438579 | Erin Mae Johnson | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2014-04-23 |
1386978260 | Jennifer Lea Baumgart | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130 | 2009-09-25 |
Find all providers in zip 54130 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
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.