CHARLES POLZIN (NPI# 1144546805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144546805 |
| Entity Type | Individual |
| Full Name | CHARLES POLZIN |
| Credential | D.D.S. |
| Practice Address |
2268 N Shore Dr Rhinelander WI 54501-8888 |
| Practice Telephone | 7154201400 |
| Practice Fax Number | 7154200701 |
| Mailing Telephone | 7154201400 |
| Mailing Fax Number | 7154200701 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2015-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6605-15 | WI | Dental Providers |
| Street Address |
2268 N SHORE DR |
| City | RHINELANDER |
| State | WI |
| Zip Code | 54501-8888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841307113 | Paul C Samundsen | Family Medicine | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2006-08-24 |
| 1265090575 | Celeste Nacale Gish | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2019-06-01 |
| 1811344237 | Matthew Alan Novak | Student in an Organized Health Care Education/Training Program | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2016-05-16 |
| 1316321029 | Kevin Joseph Mastey | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2015-07-13 |
| 1013398775 | Nathan James Fiebke | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2015-06-17 |
| 1083020739 | Kirandeep Kaur | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2014-07-02 |
| 1336553569 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2014-06-16 |
| 1619237708 | Shaivalkumar S. Patel | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2012-05-22 |
| 1225340250 | Steven R. Xerri | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2010-07-07 |
| 1144552530 | Albana Cami | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2010-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513361 | Nathan Wigington | Dentist | 803 Lincoln Street, Rhinelander, WI 54501 | 2018-06-29 |
| 1659865582 | Wendy Jahsmann | Physical Therapy Assistant | 1970 Navajo Street, Rhinelander, WI 54501 | 2018-06-14 |
| 1699262055 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 2260 North Shore Drive, Rhinelander, WI 54501 | 2018-04-20 |
| 1467967489 | Harmony Counseling Services Dba Transitions Center | Counselor | 22 N Pelham Str., Rhinelander, WI 54501 | 2017-12-13 |
| 1316392046 | Horace Donn De Yampert | Physical Therapist | 528 Shepard Street, Rhinelander, WI 54501 | 2016-05-02 |
| 1588019582 | Oksana Smith | Physical Therapy Assistant | 1318 Eagle St, Rhinelander, WI 54501 | 2016-04-27 |
| 1639535115 | Rita Jean Semmerling | Counselor | 22 N. Pelham St., Rhinelander, WI 54501 | 2016-01-13 |
| 1891151809 | Jolie Dirrigle | Social Worker | 1020 Kabel Avenue, Rhinelander, WI 54501 | 2016-01-06 |
| 1861758260 | The Country Seed Inc. | Specialist | 210 E. Anderson Street, Rhinelander, WI 54501 | 2012-04-10 |
| 1952605446 | Adam Carlson | Physical Therapist | 7543 Woodboro Heights Rd, Rhinelander, WI 54501 | 2010-12-27 |
| Find all providers in zip 54501 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265659585 | Thomas W. Olsen | Dentist | 550 E Timber Dr, Rhinelander, WI 54501-2894 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
| 1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
| 1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
| 1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
| 1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
| 1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
| 1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
| 1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
| 1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
| 1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
| City | RHINELANDER |
| Zip Code | 54501 |
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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.