ST CROIX VALLEY DENTAL PLLC (NPI# 1689757080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689757080 |
| Entity Type | Organization |
| Organization Name | ST CROIX VALLEY DENTAL PLLC |
| Other Organization Name | APPLE RIVER DENTAL |
| Practice Address |
705 Rivard St Somerset WI 54025 |
| Mailing Address |
11240 Stillwater Blvd N Lake Elmo MN 55042 |
| Practice Telephone | 7152473318 |
| Practice Fax Number | 7152472407 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DOUGLAS STEVEN WOLFF (OWNER DENTIST) |
| Authorized Official Telephone | 6514392600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Apple River Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295859676 | St Croix Valley Dental Pllc | Dentist | 10035 City Walk Dr, Ste A Lake Elmo Dental, Lake Elmo, MN 55042 | 2007-03-19 |
| 1134260318 | St Croix Valley Dental Pllc | Clinic/Center | 501 Cherry Lane, Roberts, WI 54023 | 2007-02-09 |
| 1891885000 | St Croix Valley Dental Pllc | Dentist | 11240 Stillwater Blvd N, Lake Elmo, MN 55128 | 2006-10-16 |
| Street Address |
705 RIVARD ST |
| City | SOMERSET |
| State | WI |
| Zip Code | 54025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952730459 | Pdg, P.a. | Clinic/Center | 705 Rivard St, Suite 1, Somerset, WI 54025-7455 | 2013-11-05 |
| 1487889176 | Heather Boorman | Social Worker | 705 Rivard St, Somerset, WI 54025-7455 | 2009-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987440 | School District of Somerset | Local Education Agency (LEA) | 645 Sunrise Dr, Somerset, WI 54025 | 2007-11-27 |
| 1164619011 | Rodney Alan Franks | Chiropractor | 2110 Cook Dr, Somerset, WI 54025 | 2007-09-25 |
| 1407985443 | Christopher Arlen Rud | Chiropractor | 705 Rivard Street, Suite 3, Somerset, WI 54025 | 2007-03-05 |
| 1710352653 | Kyle Ruhde | Specialist/Technologist | 645 Sunrise Dr, Somerset, WI 54025 | 2015-12-03 |
| 1215305412 | Group Health Plan Inc | Family Medicine | 700 Rivard St, Somerset, WI 54025 | 2015-09-04 |
| 1952731986 | Suzanne M. Carlson-shimon | Nurse Practitioner | 700 Rivard St, Somerset, WI 54025 | 2013-11-12 |
| 1841851888 | Stephanie Prichett | Physical Therapist | 709 Rivard St, Somerset, WI 54025-1402 | 2019-06-20 |
| 1174005045 | Holly Huso | Physical Therapist | 709 Rivard St, Somerset, WI 54025-1402 | 2018-09-06 |
| 1730683327 | Justin Scheierl | Physical Therapist | 709 Rivard St, Somerset, WI 54025-1402 | 2018-03-20 |
| 1922411909 | Mikayla Sanocki | Physical Therapist | 709 Rivard St, Somerset, WI 54025-1402 | 2014-06-06 |
| Find all providers in zip 54025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982223 | Kenneth Taylor Ruby | Dentist | 152 Parkers Mill Rd Unit A, Somerset, KY 42501-3150 | 2020-05-04 |
| 1972133148 | Ellen Grace White | Dentist | 133 E Ridge Ln, Somerset, KY 42501-1291 | 2020-01-16 |
| 1144788407 | Ekow Acquaah | Dentist | 812 Hamilton St Ste 1, Somerset, NJ 08873-3157 | 2019-03-06 |
| 1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
| 1427407212 | Bryson Dane Fry | Dentist | 296 Medpark Dr, Somerset, KY 42503-2894 | 2016-06-13 |
| 1649603341 | Dejon Graves | Dentist | 515 Ogden St, Suite B, Somerset, KY 42501-1735 | 2013-08-16 |
| 1235574393 | William Joseph Feltner | Dentist | 2911 S Highway 27, Somerset, KY 42501-3036 | 2013-05-02 |
| 1871869750 | Mid Jersey Dental | Dentist | 1553 State Hwy 27, Suite 3400, Somerset, NJ 08873 | 2012-03-26 |
| 1033357884 | Nina A Sado | Dentist | 6 Azalea Ln, Somerset, NJ 08873-2802 | 2009-02-02 |
| 1033370754 | Emily E Merrick | Dentist | 250 Belmont Avenue, Suite 1, Somerset, KY 42501 | 2008-06-25 |
| Find all providers in SOMERSET | ||||
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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.