DR. RONALD J PRUHS (NPI# 1255628491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255628491 |
| Entity Type | Individual |
| Full Name | DR. RONALD J PRUHS |
| Credential | D.D.S. |
| Practice Address |
4120 S Lake Dr Apt. 251 Saint Francis WI 53235-5954 |
| Practice Telephone | 9206932992 |
| Mailing Telephone | 9206932992 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5000087-15 | WI | Dental Providers |
| Street Address |
4120 S LAKE DR APT. 251 |
| City | SAINT FRANCIS |
| State | WI |
| Zip Code | 53235-5954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689068140 | Asma Sayeed | Family Medicine | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2015-03-23 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1013961200 | Melanie Danielson | Pharmacist | 2000 E Layton Ave., St Francis, WI 53235 | 2006-05-20 |
| 1861903130 | John Elmer Bukowski | Physician Assistant | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2017-10-13 |
| 1992231823 | Carrie Getka | Specialist/Technologist | 2000 E Layton Ave, St Francis, WI 53235 | 2017-05-11 |
| 1518373166 | Veronica Lorelei Zimmer | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235 | 2014-07-03 |
| 1861570350 | David M Sherman | Pediatrics | 2000 E Layton Ave, #100, St Francis, WI 53235 | 2006-11-01 |
| 1649358169 | Mary Ellen I Sorensen | Nurse Practitioner | 2000 E Layton Ave, #100, St Francis, WI 53235 | 2006-11-01 |
| 1447368154 | Janice L Hubert | Counselor | 2000 E Layton Ave, #250, St Francis, WI 53235 | 2006-08-25 |
| 1467569335 | Marcia L Williams | Counselor | 2000 E Layton Ave, #250, St Francis, WI 53235 | 2006-08-24 |
| Find all providers in zip 53235 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478454 | New Richmond Kidds Pediatric Dentistry LLC | Dentist | 1244 N 4th St Ste 300, New Richmond, WI 54017-7540 | 2020-08-21 |
| 1710509484 | Hospital Dentistry for Kids Inc. | Dentist | 4980 S County Rd T, Denmark, WI 54208 | 2020-05-15 |
| 1467808592 | Alexis Colosimo | Dentist | 11035 W Forest Home Ave Ste 116, Hales Corners, WI 53130-2541 | 2016-05-07 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1407257108 | The Kids Dentist LLC | Dentist | 10618 N Port Washington Rd, Mequon, WI 53092-5013 | 2014-09-12 |
| 1144631698 | Jennifer Sinnen | Dentist | 14430 W Greenfield Ave, Brookfield, WI 53005-7036 | 2014-05-17 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1043452758 | Barbara Lynn Phillips | Dentist | 8815 County Rd J, Woodruff, WI 54568-9636 | 2009-03-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT FRANCIS |
| Zip Code | 53235 |
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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.