DR. THANE B. ANDERSON, DDS, LLC (NPI# 1245420280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245420280 |
| Entity Type | Organization |
| Organization Name | DR. THANE B. ANDERSON, DDS, LLC |
| Practice Address |
1520 Vernon St Stoughton WI 53589-2260 |
| Practice Telephone | 6088733213 |
| Practice Fax Number | 6088737254 |
| Mailing Telephone | 6088733213 |
| Mailing Fax Number | 6088737254 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | THANE B ANDERSON (OWNER) |
| Authorized Official Telephone | 6088733213 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4812W | WI | Ambulatory Health Care Facilities |
| Street Address |
1520 VERNON ST |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669481966 | Fort Healthcare, Inc. | Orthopaedic Surgery | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-08-05 |
| 1023208063 | Richard A Albright | Dentist | 1520 Vernon St, Stoughton, WI 53589-2260 | 2007-07-26 |
| 1942352869 | Stoughton Family Counseling Services | Clinic/Center | 1520 Vernon St, Stoughton, WI 53589-2260 | 2007-01-18 |
| 1134281959 | David W Druckenbrod | Social Worker | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-12-15 |
| 1871655613 | Sarah Fritz | Social Worker | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-12-15 |
| 1366504193 | Nancy A Shorrock | Social Worker | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-12-15 |
| 1275603789 | Jeffrey L Brown | Social Worker | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-11-09 |
| 1457449118 | Phillip Edward Oinonen | Dentist | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-10-10 |
| 1790877629 | Thor Jason Anderson | Dentist | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-09-28 |
| 1104837921 | Thane B Anderson | Dentist | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
| 1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
| 1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
| 1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| Find all providers in zip 53589 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407180466 | Gerald M. Winkler, D.m.d., P.C. | Clinic/Center | 4 Cabot Pl, Suite 8, Stoughton, MA 02072-4613 | 2009-09-23 |
| 1275802035 | 42 North Dental Care, LLC | Clinic/Center | 341 Washington St, Stoughton, MA 02072-1737 | 2011-12-23 |
| 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.