DR. KELLY A PLOTE (NPI# 1447579594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447579594 |
| Entity Type | Individual |
| Full Name | DR. KELLY A PLOTE |
| Credential | DDS |
| Practice Address |
13380 W Trepania Rd Hayward WI 54843 |
| Mailing Address |
13380 W Trepania Rd Hayward WI 54843-2186 |
| Practice Telephone | 7156385144 |
| Practice Fax Number | 7156349919 |
| Mailing Telephone | 7156385144 |
| Mailing Fax Number | 7156349919 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 7050-15 | WI | Dental Providers |
| Y | 122300000X | Dentist | 019028250 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15910 W Company Lake Rd, Hayward, WI 548435320 | 7159342224 |
| Street Address |
13380 W TREPANIA RD |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194830208 | Lac Courte Oreilles Governing Board | Clinic/Center | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2006-08-20 |
| 1942826847 | Dawn Marcel Quaderer | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2020-06-17 |
| 1265052146 | Danielle Hughes | Nurse Practitioner | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2020-04-21 |
| 1730727710 | Lynsey Michelle Weber | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843 | 2019-12-20 |
| 1386299626 | Gina Marie Benson | Clinical Nurse Specialist | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-08-05 |
| 1477107282 | Christian M Clarquist | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-30 |
| 1063066082 | Krista Lee Strunk | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-29 |
| 1851945968 | Melinda Young | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-26 |
| 1790284966 | Jennifer L Petit | Counselor | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2018-02-02 |
| 1063927432 | Alexandra Bice | Counselor | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2017-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073970778 | Jin Chung | Dentist | 24307 Southland Dr, Hayward, CA 94545-1517 | 2016-01-26 |
| 1588021398 | Suong Le Dental Corporation | Dentist | 805 Fletcher Ln, Hayward, CA 94544-1010 | 2016-01-25 |
| 1154793206 | Big Smile Dental Group, PC By Evangeline M. Memoracion D.d.s. | Dentist | 22429 Foothill Blvd, Hayward, CA 94541-4024 | 2015-10-28 |
| 1801288071 | Brian R Fong | Dentist | 21048 Haviland Ave, Hayward, CA 94541-2036 | 2015-02-25 |
| 1376932459 | Eugene Roytman Dmd, Inc | Dentist | 1866 B Street, Hayward, CA 94541 | 2015-01-13 |
| 1871930446 | Tran Villas Dental PC | Dentist | 26775 Hayward Blvd, Ste P, Hayward, CA 94542-2082 | 2013-05-22 |
| 1770862518 | Paulina Janette Del Rio | Dentist | 27724 Bruno St, Hayward, CA 94544-5259 | 2011-08-10 |
| 1013147438 | Jack M. Tsai | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2009-07-20 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1184862187 | Fernando Roberto Soto | Dentist | 25879 Gettysburg Ave, Hayward, CA 94545-2901 | 2009-01-29 |
| Find all providers in HAYWARD | ||||
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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.