DR. STEVEN JOHN FAHSEL (NPI# 1184706160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184706160 |
| Entity Type | Individual |
| Full Name | DR. STEVEN JOHN FAHSEL |
| Credential | DDS |
| Practice Address |
119 W Lake St Lake Mills WI 53551 |
| Mailing Address |
119 W Lake St Po Box 47 Lake Mills WI 53551 |
| Practice Telephone | 9206482912 |
| Practice Fax Number | 6906488219 |
| Mailing Telephone | 9206482912 |
| Mailing Fax Number | 6906488219 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0003219 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33460200 | 05 |
| Street Address |
119 W LAKE ST |
| City | LAKE MILLS |
| State | WI |
| Zip Code | 53551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669793337 | Abigail Marie Mohoney | Speech-Language Pathologist | 901 Mulberry St., Lake Mills, WI 53551 | 2010-06-17 |
| 1467694828 | Penny Ann Mcknight | Registered Nurse | N7119 North Shore Rd, Lake Mills, WI 53551 | 2009-04-01 |
| 1982891289 | Assisted Living Concepts Inc | Assisted Living Facility | 300 Oneil Street, Lake Mills, WI 53551 | 2007-10-01 |
| 1245256015 | Jason Carl Gatlin | Physical Therapist | 200 East Tyrannena Road, Therapy and Sport Center, Lake Mills, WI 53551 | 2006-07-14 |
| 1558780221 | Whitney Marie Van Reesen | Family Medicine | 1025 Mulberry St, Lake Mills, WI 53551 | 2014-04-10 |
| 1265761969 | Leanne Anthon | Registered Nurse | 603 Fremont St, Lake Mills, WI 53551-1021 | 2009-12-09 |
| 1174806897 | Ear Clinic, LLC | Clinic/Center | 125b E Pine St, Lake Mills, WI 53551-1103 | 2011-09-20 |
| 1669602488 | Aadvantage Behavioral Healthcare, LLC | Clinic/Center | 125 E Pine St, Lake Mills, WI 53551-1103 | 2009-07-15 |
| 1710986096 | Christopher James Kroll | Chiropractor | 125a E Pine St, Lake Mills, WI 53551-1103 | 2005-07-19 |
| 1205495835 | Andrea K. Knoelke | Chiropractor | 125a E Pine St, Lake Mills, WI 53551-1103 | 2019-06-07 |
| Find all providers in zip 53551 | ||||
| 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 |
|---|---|---|---|---|
| 1649294224 | Juliet Anne Slavens | Dentist | 311 E Tyranena Park Rd, Lake Mills, WI 53551-9681 | 2006-07-27 |
| 1629224852 | Dental Associates of Lake Mills, Inc. | Dentist | 311 E Tyranena Park Rd, Lake Mills, WI 53551-9681 | 2008-08-07 |
| 1952592420 | Oral Health Clinic Inc | Dentist | 135 N Main St, Lake Mills, WI 53551-1609 | 2007-08-08 |
| 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 | ||||
| City | LAKE MILLS |
| Zip Code | 53551 |
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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.