POTRYKUS FAMILY DENTISTRY LLC (NPI# 1396870432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396870432 |
| Entity Type | Organization |
| Organization Name | POTRYKUS FAMILY DENTISTRY LLC |
| Practice Address |
213 N Railroad St Eagle River WI 54521 |
| Mailing Address |
213 N Railroad Street Po Box 1075 Eagle River WI 54521 |
| Practice Telephone | 7154794686 |
| Practice Fax Number | 7154795281 |
| Mailing Telephone | 7154794686 |
| Mailing Fax Number | 7154795281 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-07-13 |
| Authorized Official Name | DR. NEAL ALAN POTRYKUS (PRESIDENT DOCTOR) |
| Authorized Official Telephone | 7154794686 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WI3315 | WI | Dental Providers |
| Street Address |
213 N RAILROAD ST |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| 1700962974 | Kurt William Klemm | Physical Therapist | 528 Hwy 70 W, Eagle River, WI 54521 | 2006-10-31 |
| Find all providers in zip 54521 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1063760593 | Courtney Burrill | Dentist | 17101 Snowmobile Ln Ste 107, Eagle River, AK 99577-7043 | 2012-08-15 |
| 1790002335 | Brad Woodring | Dentist | 10928 Eagle River Rd Ste 105, Eagle River, AK 99577-8079 | 2010-04-21 |
| 1124254644 | Jason Potrykus | Dentist | 213 Railroad St, Eagle River, WI 54521-8139 | 2009-06-10 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1699950451 | Bryan J Enghirst | Dentist | 11431 Business Blvd Ste 5, Eagle River, AK 99577-7738 | 2007-12-28 |
| 1891997185 | James V Penfield | Dentist | 12641 Old Glenn Hwy Suite 101, Eagle River, AK 99577 | 2007-05-31 |
| 1366654659 | Joseph Patrick Caterinichio | Dentist | 11723 Old Glenn Highway, Suite 213, Eagle River, AK 99577 | 2007-05-07 |
| 1538387790 | Michael R Sanders | Dentist | 13015 Old Glenn Hwy, #200, Eagle River, AK 99577 | 2007-04-23 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
Please comment or provide details below to improve the information on POTRYKUS FAMILY DENTISTRY LLC.
| 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.