NEIGHBORHOOD SMILES OF WEST SALEM, LLC (NPI# 1659863199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659863199 |
| Entity Type | Organization |
| Organization Name | NEIGHBORHOOD SMILES OF WEST SALEM, LLC |
| Practice Address |
1403 Waterloo Ave West Salem WI 54669-9270 |
| Mailing Address |
301 N 17th Ave Ste 200 Wausau WI 54401-4225 |
| Practice Telephone | 6085194385 |
| Mailing Telephone | 6085194385 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | JACKIE LUCHT (OPERATION MANAGER) |
| Authorized Official Telephone | 7158423933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1403 WATERLOO AVE |
| City | WEST SALEM |
| State | WI |
| Zip Code | 54669-9270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487764767 | Priscilla H Shih | Dentist | 1403 Waterloo Ave, Waterloo Heights Dental, West Salem, WI 54669-9270 | 2006-08-30 |
| 1669537924 | Kevin T Ladesic | Dentist | 1403 Waterloo Ave, West Salem, WI 54669 | 2006-12-27 |
| 1487724613 | Charles W Flume Dds Sc | Dentist | 1403 Waterloo Ave, West Salem, WI 54669 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643699 | County of La Crosse | Custodial Care Facility | 994 Garland St E, West Salem, WI 54669 | 2020-03-04 |
| 1235763053 | County of La Crosse | Custodial Care Facility | 848 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1750915575 | County of La Crosse | Custodial Care Facility | 856 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1265066096 | County of La Crosse | Custodial Care Facility | 998 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1912470113 | Erin Gleason | Music Therapist | 806 N. Mill St., West Salem, WI 54669 | 2019-01-10 |
| 1124464854 | Andrea Jayne Hatleli | Contractor | 860 N. Mill St., Suite #2, West Salem, WI 54669 | 2013-05-21 |
| 1033424403 | Sara Smith | Dentist | 201 N Leonard St, Suite 101, West Salem, WI 54669 | 2010-08-10 |
| 1073839114 | Community Health Pharmacy LLC | Pharmacy | 880 N. Mill St., Suite 101, West Salem, WI 54669 | 2010-04-14 |
| 1255350542 | Kevin P Groth | Chiropractor | 1540 Heritage Blvd, Suite 203, West Salem, WI 54669 | 2006-07-18 |
| 1063024834 | Erin Shea Vanhandel | Speech-Language Pathologist | 713 Leonard St N, West Salem, WI 54669 | 2020-08-21 |
| Find all providers in zip 54669 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
| 1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
| 1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
| 1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
| 1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
| 1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
| 1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
| 1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
| 1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | WEST SALEM |
| Zip Code | 54669 |
Please comment or provide details below to improve the information on NEIGHBORHOOD SMILES OF WEST SALEM, 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.