QUIRT FAMILY DENTISTRY, SC (NPI# 1407260326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407260326 |
| Entity Type | Organization |
| Organization Name | QUIRT FAMILY DENTISTRY, SC |
| Other Organization Name | GATEWAY DENTAL CARE |
| Practice Address |
2777 Milwaukee Rd Beloit WI 53511 |
| Practice Telephone | 6083122945 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUIRT FAMILY DENTISTRY, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Gateway Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1700251725 | Quirt Family Dentistry, Sc | Dentist | 5401 Caddis Bnd, Unit B, Fitchburg, WI 53711-7122 | 2015-12-02 |
| 1225447436 | Quirt Family Dentistry, Sc | Dentist | 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 | 2014-08-13 |
| 1891117495 | Quirt Family Dentistry, Sc | Dentist | 10288 77th St, Suite 300, Pleasant Prairie, WI 53158-1142 | 2014-01-16 |
| 1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
| 1417384249 | Quirt Family Dentistry, Sc | Dentist | 8907 S Howell Ave, Oak Creek, WI 53154-4460 | 2013-10-12 |
| 1922442300 | Quirt Family Dentistry, Sc | Dentist | 3813 E Calumet St, Appleton, WI 54915-4158 | 2013-04-29 |
| 1871869222 | Quirt Family Dentistry, Sc | Dentist | 2812 E Main St, Merrill, WI 54452-3470 | 2012-03-30 |
| 1881969384 | Quirt Family Dentistry, Sc | Dentist | 107 S 3rd Ave, Edgar, WI 54426-9282 | 2012-03-16 |
| Street Address |
2777 MILWAUKEE RD |
| City | BELOIT |
| State | WI |
| Zip Code | 53511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| 1174882245 | Synthia Ann Potuznik | Hearing Instrument Specialist | 1327 Townline Ave, Beloit, WI 53511 | 2012-05-10 |
| Find all providers in zip 53511 | ||||
| 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 |
|---|---|---|---|---|
| 1841851946 | Sean M Seelander | Dentist | 2101 S Riverside Dr, Beloit, WI 53511-2932 | 2019-06-28 |
| 1801453568 | Megan Elizabeth Eubanks | Dentist | 120 N Bell St, Beloit, KS 67420-2739 | 2019-05-28 |
| 1972918308 | Shobhit Bansal | Dentist | 2777 Milwaukee Rd Unit B, Beloit, WI 53511-3976 | 2014-06-24 |
| 1558560318 | Ronald Leo Duffy | Dentist | 1454 E Huebbe Parkway, Beloit, WI 53511-1714 | 2007-07-12 |
| 1326249152 | Dennis Roy Nosek | Dentist | 1920 W Hart Rd, Beloit, WI 53511-2231 | 2007-05-30 |
| 1730249152 | Dental Designs of Solomon Valley, P.a. | Dentist | 208 S Mill St, Beloit, KS 67420-3239 | 2006-12-08 |
| 1528176492 | John Gerard Onderak | Dentist | 1215 Cranston Rd, Beloit, WI 53511-2534 | 2006-08-29 |
| 1912915661 | Robert Hopkins Grigsby Jr. | Dentist | 2149 Pioneer Dr, Beloit, WI 53511-3057 | 2006-08-04 |
| 1316443351 | John Tran | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-03-30 |
| 1588194229 | Katie Wilson | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2017-06-15 |
| Find all providers in BELOIT | ||||
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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.