DR. JOHN ROBERT CLIFFORD (NPI# 1548751043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548751043 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT CLIFFORD |
| Credential | DDS, MS |
| Practice Address |
413 N 17th Ave Wausau WI 54401-4226 |
| Practice Telephone | 7158424649 |
| Mailing Telephone | 7158427331 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1002225-15 | WI | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316016983 | John Stephen Clifford | Psychologist | 8 Kirduglyn Rd, Portsmouth, RI 02871-3916 | 2006-11-07 |
| 1295952406 | John William Clifford | Dentist | 2100 E Lake Cook Rd, Suite 1100, Buffalo Grove, IL 60089-1999 | 2007-04-19 |
| 1952460586 | John W. Clifford | Neuromusculoskeletal Medicine & OMM | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-12-08 |
| 1316987563 | John M Clifford | Dentist | 620 M St Ne, Auburn, WA 98002-4501 | 2006-06-07 |
| 1104815612 | John R Clifford | Neurological Surgery | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2005-10-18 |
| Street Address |
413 N 17TH AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477520815 | Joshua J Spiegl | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2006-03-03 |
| 1184021230 | Amanda Marie Beversdorf | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401 | 2014-12-04 |
| 1497030100 | Mark Dale Foster | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2011-10-13 |
| 1932482841 | First Impressions, Sc Orthodontics | Clinic/Center | 413 N 17th Ave, Wausau, WI 54401-4226 | 2011-09-27 |
| 1194964783 | Tuesday Dawn Nelson | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-02-05 |
| 1942448634 | Angela Moua | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-02-03 |
| 1558509729 | Jessica Zelenka | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-01-27 |
| 1255579512 | Shannon Michaela Mudler | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-01-25 |
| 1144468653 | Laurie Johnson | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-01-22 |
| 1235376740 | Sue Ann Stoltz | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477520815 | Joshua J Spiegl | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2006-03-03 |
| 1942454111 | Edmund Lawrence Markey IIi | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2008-11-13 |
| 1821241894 | Margaret C Chicka | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2008-11-03 |
| 1659596153 | Corey Lee Brimacombe | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2007-04-17 |
| 1710102215 | Thomas Joseph Turner | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2007-04-17 |
| 1639394158 | Carl John Hash | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2007-04-17 |
| 1205804663 | First Impressions Sc | Dentist | 413 N 17th Ave, Wausau, WI 54401-2910 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478454 | New Richmond Kidds Pediatric Dentistry LLC | Dentist | 1244 N 4th St Ste 300, New Richmond, WI 54017-7540 | 2020-08-21 |
| 1710509484 | Hospital Dentistry for Kids Inc. | Dentist | 4980 S County Rd T, Denmark, WI 54208 | 2020-05-15 |
| 1467808592 | Alexis Colosimo | Dentist | 11035 W Forest Home Ave Ste 116, Hales Corners, WI 53130-2541 | 2016-05-07 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1407257108 | The Kids Dentist LLC | Dentist | 10618 N Port Washington Rd, Mequon, WI 53092-5013 | 2014-09-12 |
| 1144631698 | Jennifer Sinnen | Dentist | 14430 W Greenfield Ave, Brookfield, WI 53005-7036 | 2014-05-17 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1255628491 | Ronald J Pruhs | Dentist | 4120 S Lake Dr, Apt. 251, Saint Francis, WI 53235-5954 | 2011-07-08 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 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.