HUDSON DENTAL (NPI# 1679610489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679610489 |
| Entity Type | Organization |
| Organization Name | HUDSON DENTAL |
| Practice Address |
2215 Vine St Suite D Hudson WI 54016-5802 |
| Practice Telephone | 7153869119 |
| Practice Fax Number | 7153860303 |
| Mailing Telephone | 7153869119 |
| Mailing Fax Number | 7153860303 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TOM OLAF KLOSTER (PRES.) |
| Authorized Official Telephone | 7153869119 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4004 | WI | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Hudson Dental, LLC | 132 Walnut Ave, Suite D, Grand Junction, CO 81501 |
| Street Address |
2215 VINE ST SUITE D |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226560 | Garth Neil Christenson | Optometrist | 2215 Vine St, Ste E, Hudson, WI 54016-5802 | 2005-12-20 |
| 1912457003 | Rossodontics Dental Sleep Medicine | Dentist | 2215 Vine St, Suite B, Hudson, WI 54016-5802 | 2016-10-12 |
| 1215051081 | Orthodontic Care Group | Dentist | 2215 Vine St, Hudson, WI 54016-5802 | 2007-03-19 |
| 1407801087 | Christenson Vision Care Ltd | Optometrist | 2215 Vine St, Suite E, Hudson, WI 54016-5802 | 2006-05-23 |
| 1972552289 | Micki Maureen Flynn | Optometrist | 2215 Vine St, Suite E, Hudson, WI 54016-5802 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
| 1174085971 | Explorer Pediatric Dentistry, LLC- Julie Rudgers Croft, Dds | Clinic/Center | 725 W Streetsboro St, Hudson, OH 44236-2056 | 2019-04-02 |
| 1396133724 | Beacon Woods Family Dentistry Pa | Clinic/Center | 12036 Cobblestone Dr, Hudson, FL 34667-2413 | 2015-01-08 |
| 1043649569 | Pdg, P.a. | Clinic/Center | 1003 Pearson Dr, Hudson, WI 54016-8727 | 2013-11-05 |
| 1881997591 | Columbia Street Dental Group | Clinic/Center | 876 Columbia Street, Hudson, NY 12534-2338 | 2010-12-20 |
| 1811919921 | J. Tyron Barker Dmd Pa | Clinic/Center | 636 Main St, Hudson, NC 28638-2545 | 2006-07-25 |
| 1588271019 | Hudson Valley Dental Pllc | Clinic/Center | 1102 Beall St, Hudson, WI 54016-2060 | 2020-09-29 |
| 1679127567 | Bardill Dental Associates,s.c. | Clinic/Center | 900 6th St N Ste 200, Hudson, WI 54016-7172 | 2019-07-29 |
| 1780119859 | Gentle Dental Hudson | Clinic/Center | 234 Washington St, Hudson, MA 01749-3735 | 2017-04-26 |
| 1215265517 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Avenue, Dental Program, Hudson, NY 12534 | 2009-11-24 |
| Find all providers in HUDSON | ||||
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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.