TRI-COUNTY COMMUNITY DENTAL CLINIC, INC.


Address: 9 Tri Park Way, Appleton, WI 54914-1661
Phone: 9208829989

TRI-COUNTY COMMUNITY DENTAL CLINIC, INC. (NPI# 1336237551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336237551
Entity Type Organization
Organization Name TRI-COUNTY COMMUNITY DENTAL CLINIC, INC.
Practice Address 9 Tri Park Way
Appleton
WI 54914-1661
Practice Telephone 9208829989
Practice Fax Number 9208829961
Mailing Telephone 9208829989
Mailing Fax Number 9208829961
Enumeration Date 2006-10-11
Last Update Date 2020-08-22
Authorized Official Name BARBARA UEHLING (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9208829989
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 38392800 05

Office Location

Street Address 9 TRI PARK WAY
City APPLETON
State WI
Zip Code 54914-1661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245844224 Brennan Charles Schneider Dentist 9 Tri Park Way, Appleton, WI 54914-1661 2020-09-07
1306339155 Benjamin Louis Strobel Dentist 9 Tri Park Way, Appleton, WI 54914-1661 2018-06-06
1982967378 William Flanagan Dentist 9 Tri Park Way, Appleton, WI 54914 2012-06-20
1952673790 Richard B. Hilsabeck Dentist 9 Tri Park Way, Tri-county Community Dental Clinic, Appleton, WI 54914 2012-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572429 Claire Schuh Social Worker 3416 Association Ln, Appleton, WI 54914 2020-09-09
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1124677885 Sharon Darla Cornell Technician 3117 N. Mistwood Lane, Appleton, WI 54914 2019-09-05
1235647793 Midwest Monitoring, LLC Psychiatry & Neurology 4321 W College Ave Ste 200, Appleton, WI 54914 2018-01-18
1356863252 Uvanta Pharmacy LLC Pharmacy 1050 S Grider St, Suite C, Appleton, WI 54914 2017-07-12
1255860912 Appleton Counseling Management LLC Counselor 477 S Nicolet Rd., Appleton, WI 54914 2017-06-07
1609269489 Shane Scott Urban Social Worker 444 N. Westhill Blvd., Appleton, WI 54914 2015-03-18
1699184580 Michelle Becker Nurse Practitioner 4435 West Lawrence St., Appleton, WI 54914 2014-08-05
1972857514 Jean Flesch Pharmacist 1000 W. Northland Ave., Appleton, WI 54914 2012-11-05
1477845147 Mallory Barbara Herrin Counselor 820 W. College Ave, Appleton, WI 54914 2011-05-12
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194241216 North Appleton Dentistry, LLC Clinic/Center 3521 Commerce Ct, Appleton, WI 54911-8579 2017-08-21
1124540315 Fox Run Dental, LLC Clinic/Center 229 E Franklin St, Appleton, WI 54911-5434 2017-07-10
1811430796 First Impressions Sc Clinic/Center 4182 W Wisconsin Ave, Appleton, WI 54913-8652 2016-11-28
1497115232 Appleton Dental Care, P.a. Clinic/Center 32 S Behl St, Appleton, MN 56208-1616 2016-03-06
1356414114 Timbercrest Dental Center, S.c. Clinic/Center 821 E 1st Ave, Suite 3, Appleton, WI 54911-1501 2006-11-17

Providers in the same taxonomy and state

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
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Competitor

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City APPLETON
Zip Code 54914

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Dataset Information

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.

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