SHEBOYGAN FAMILY DENTISTRY LLC (NPI# 1508479676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508479676 |
| Entity Type | Organization |
| Organization Name | SHEBOYGAN FAMILY DENTISTRY LLC |
| Practice Address |
1407 N 8th St Ste 101 Sheboygan WI 53081-3400 |
| Practice Telephone | 9204588389 |
| Mailing Telephone | 9204588389 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MITCH WEILAND (SENIOR ACCOUNTANT) |
| Authorized Official Telephone | 6083430818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Korolewski Dental | Doing Business As Name - Organization |
| Street Address |
1407 N 8TH ST STE 101 |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316444219 | John M Korolewski Dds LLC | Durable Medical Equipment & Medical Supplies | 1407 N 8th St Ste 101, Sheboygan, WI 53081-3400 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| 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 |
|---|---|---|---|---|
| 1932589678 | Timothy J Gainey | Dentist | 1931 N. 8th Street, Sheboygan, WI 53081-2740 | 2015-06-08 |
| 1508203076 | Calen H Leider | Dentist | 3064 S Business Dr, Sheboygan, WI 53081-6522 | 2013-05-23 |
| 1841508090 | Bruce Robert Hilt I | Dentist | 3314 Superior Ave, Sheboygan, WI 53081-1860 | 2010-09-22 |
| 1053508259 | Robert Schoenenberger | Dentist | 2202 Indiana Ave, Sheboygan, WI 53081-4769 | 2007-10-02 |
| 1285846592 | David Blong Shouanou Lee | Dentist | 825 Michigan Ave, Sheboygan, WI 53081 | 2007-05-07 |
| 1881710929 | George L Hess IIi | Dentist | 3003 Superior Ave, Sheboygan, WI 53081-1947 | 2007-03-21 |
| 1124195920 | John Joseph Roblee | Dentist | 2304 Calumet Drive, Sheboygan, WI 53083-4698 | 2006-11-29 |
| 1437264983 | James P Zientek | Dentist | 1407 N 8th St, Sheboygan, WI 53081-3400 | 2006-08-21 |
| 1245343805 | Larry Ray Jones | Dentist | 1407 N 8th Street, Professional Plaza Bldg, Sheboygan, WI 53081 | 2006-08-17 |
| 1326677444 | Natalie Ordonez | Dentist | 1721 Saemann Ave, Sheboygan, WI 53081-2342 | 2020-04-02 |
| Find all providers in SHEBOYGAN | ||||
Please comment or provide details below to improve the information on SHEBOYGAN FAMILY DENTISTRY 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.