STEPHEN J WEDDLE


Address: 605 Peterson Dr, Phillips, WI 54555-1430
Phone: 7153393021

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
5001701 WI Dental Providers

Office Location

Street Address 605 PETERSON DR
City PHILLIPS
State WI
Zip Code 54555-1430

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043329253 John A Satterwhite Dentist 605 Peterson Dr, Phillips, WI 54555-1430 2006-08-30

Providers in the same taxonomy and state

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
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City PHILLIPS
Zip Code 54555

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Dataset Information

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.

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