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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38392800 | 05 |
Street Address |
9 TRI PARK WAY |
City | APPLETON |
State | WI |
Zip Code | 54914-1661 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
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 |
Find all providers in zip 54914 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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 |
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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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.