STEPHEN J WEDDLE (NPI# 1467453712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467453712 |
Entity Type | Individual |
Full Name | STEPHEN J WEDDLE |
Credential | DDS |
Practice Address |
605 Peterson Dr Phillips WI 54555-1430 |
Mailing Address |
605 Peterson Dr Po Box 10 Phillips WI 54555-1430 |
Practice Telephone | 7153393021 |
Mailing Telephone | 7153393021 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2007-07-08 |
NPI Deactivation Date | 04/05/2006 |
NPI Reactivation Date | 2006-04-10 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
5001701 | WI | Dental Providers |
Street Address |
605 PETERSON DR |
City | PHILLIPS |
State | WI |
Zip Code | 54555-1430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063859114 | Northwoods Dentistry, S.c. | Dentist | 605 Peterson Dr, Phillips, WI 54555-1430 | 2013-05-30 |
1043329253 | John A Satterwhite | Dentist | 605 Peterson Dr, Phillips, WI 54555-1430 | 2006-08-30 |
1699797134 | Michael Robert Murphy Jr. | Dentist | 605 Peterson Dr, Phillips, WI 54555-1430 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356971162 | Tully Erwin | Pharmacist | 256 South Lave Avenue, Phillips, WI 54555 | 2020-01-21 |
1326494543 | New Horizons North, Inc. | Voluntary or Charitable | 1215 N Airport Rd, Phillips, WI 54555 | 2016-05-06 |
1801106265 | Kelly Jean Witt-erickson | Social Worker | 548 North Lake Avenue, Phillips, WI 54555 | 2010-10-19 |
1629215314 | Roepke Physical Therapy Limited Partnership | Occupational Therapist | N 9691 Highway 13 N, Phillips, WI 54555 | 2009-01-16 |
1598922429 | Counseling & Development Center, Inc | Community/Behavioral Health | 171 Chestnut Street, Phillips, WI 54555 | 2008-05-19 |
1518134568 | Central Price Co Ambulance Service, Inc | Ambulance | 104c N Argyle, Phillips, WI 54555 | 2008-05-09 |
1235304395 | School District of Phillips | Local Education Agency (LEA) | 365 Highway 100, Phillips, WI 54555 | 2008-04-29 |
1942473780 | Haven House Community Support Center of Price County | Community/Behavioral Health | 548 N Lake Ave, Phillips, WI 54555 | 2008-04-11 |
1295947109 | Northern Sight Vision Clinic, LLC | Optometrist | 104a N. Argyle Ave, Phillips, WI 54555 | 2007-05-04 |
1902028541 | County of Price | Public Health or Welfare | 104 S Eyder Avenue, Phillips, WI 54555 | 2007-05-03 |
Find all providers in zip 54555 |
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 |
---|---|---|---|---|
1043329253 | John A Satterwhite | Dentist | 605 Peterson Dr, Phillips, WI 54555-1430 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
Find all providers with the same taxonomy |
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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.