FAMILIA DENTAL JANESVILLE LLC (NPI# 1437508405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437508405 |
| Entity Type | Organization |
| Organization Name | FAMILIA DENTAL JANESVILLE LLC |
| Practice Address |
1260 Milton Ave Ste 140 Janesville WI 53545-1890 |
| Mailing Address |
2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 |
| Practice Telephone | 8889884066 |
| Practice Fax Number | 8474964850 |
| Mailing Telephone | 8889884066 |
| Mailing Fax Number | 8474964850 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | IVONNE TELLEZ (ENROLLMENT TEAM LEAD) |
| Authorized Official Telephone | 8889884066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1260 MILTON AVE STE 140 |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545-1890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034245 | Zahir M Siddiqui | Dentist | 1260 Milton Ave Ste 140, Janesville, WI 53545-1890 | 2020-08-19 |
| 1518480599 | Nishit Kaushik Mehta | Dentist | 1260 Milton Ave Ste 140, Janesville, WI 53545-1890 | 2017-07-20 |
| 1043731995 | Himabindu Vuddaraju | Dentist | 1260 Milton Ave Ste 140, Janesville, WI 53545-1890 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1104163740 | Sarah J Fredricks | Licensed Practical Nurse | 1406 Holiday Drive, Janesville, WI 53545 | 2013-01-15 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| Find all providers in zip 53545 | ||||
| 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 |
|---|---|---|---|---|
| 1063862274 | Zachary Gregerson | Dentist | 408 S Main St Apt 4, Janesville, WI 53545-4881 | 2016-06-18 |
| 1740679448 | Pack Janesville Dental, LLC. | Dentist | 3131 Milton Ave Ste 190, Janesville, WI 53545-0244 | 2015-01-19 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| 1104022219 | Philip Morton Selgren | Dentist | 3530 N Cty Hy F, Janesville, WI 53545 | 2007-06-25 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| 1043334121 | Contemporary Dental | Dentist | 4425 Woodgate Drive, Janesville, WI 53546 | 2007-03-16 |
| 1033261839 | Richard L Holthaus | Dentist | 3418 Highway F, Janesville, WI 53545-0737 | 2007-01-18 |
| 1770634602 | Thomas David Haye | Dentist | 2021 Wesley Ave, Janesville, WI 53545-2641 | 2007-01-16 |
| 1922165083 | James Marchigiani | Dentist | 1407 N Wright Rd, Janesville, WI 53546-1314 | 2007-01-01 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
Please comment or provide details below to improve the information on FAMILIA DENTAL JANESVILLE 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.