MR. MATT R AGNEW (NPI# 1295916419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295916419 |
Entity Type | Individual |
Full Name | MR. MATT R AGNEW |
Credential | DMD |
Practice Address |
1270 W Main St Sun Prairie WI 53590-1930 |
Mailing Address |
2901 W. Beltline Hwy. Suite 120 Madison WI 53713-4226 |
Practice Telephone | 6084435482 |
Practice Fax Number | 6088379134 |
Mailing Telephone | 6084435500 |
Mailing Fax Number | 6084411981 |
Enumeration Date | 2007-11-15 |
Last Update Date | 2012-04-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
6179-15 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33815700 | 05 |
Street Address |
1270 W MAIN ST |
City | SUN PRAIRIE |
State | WI |
Zip Code | 53590-1930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063995553 | Katherine A Schuler | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2018-09-11 |
1861849945 | Jessica Diaz | Dental Hygienist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2016-05-19 |
1568823839 | Angela Engelmann | Dental Hygienist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2016-03-15 |
1255772349 | Sarah E Dewolf | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2013-07-17 |
1205139821 | Raymond Matthew Maddox | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2010-12-21 |
1417260712 | Kasheena S Hollis | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2010-07-15 |
1730349432 | Jamie L. Mandigo | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2008-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
Find all providers in zip 53590 |
Taxonomy Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
1770777195 | James A Brusky | Dentist | 526 Monroe Ave, Green Bay, WI 54301 | 2007-08-29 |
1134343924 | James S Kim Dds Sc | Dentist | 501 S 24th Ave, Ste 200, Wausau, WI 54401-5225 | 2007-04-12 |
1104942432 | Bruce F Andrekus, Dds,sc | Dentist | 3726 Roosevelt Rd, Kenosha, WI 53142-1900 | 2007-03-21 |
1043293053 | Christopher E Okunseri | Dentist | 1081 W. Wisconsin Ave, Milwaukee, WI 53233-2331 | 2005-11-22 |
1780292763 | Michelle Kathleen Shipp | Dentist | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2020-07-16 |
1154813954 | Chandler Roemer | Dentist | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7894 | 2018-06-06 |
1962823617 | Howard J Lubin | Dentist | 400 S Townline Rd, Wautoma, WI 54982-6922 | 2013-12-25 |
1275971921 | Thao Thi-thanh Nguyen | Dentist | 525 Airport Dr, Oneida, WI 54155-9035 | 2013-06-04 |
1215118443 | Paula R Duszynski | Dentist | 3434 E. Washington Ave., Madison, WI 53704-4155 | 2007-11-15 |
Find all providers with the same taxonomy |
City | SUN PRAIRIE |
Zip Code | 53590 |
Please comment or provide details below to improve the information on MR. MATT R AGNEW.
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.