QUIRT FAMILY DENTISTRY, SC (NPI# 1700251725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700251725 |
Entity Type | Organization |
Organization Name | QUIRT FAMILY DENTISTRY, SC |
Other Organization Name | FAMILY DENTAL CARE OF FITCHBURG |
Practice Address |
5401 Caddis Bnd Unit B Fitchburg WI 53711-7122 |
Practice Telephone | 6088071543 |
Enumeration Date | 2015-12-02 |
Last Update Date | 2015-12-29 |
Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
Authorized Official Telephone | 2175408312 |
Is Organization Subpart | Y |
Parent Organization Name | QUIRT FAMILY DENTISTRY, SC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Family Dental Care of Fitchburg | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
1225447436 | Quirt Family Dentistry, Sc | Dentist | 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 | 2014-08-13 |
1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
1891117495 | Quirt Family Dentistry, Sc | Dentist | 10288 77th St, Suite 300, Pleasant Prairie, WI 53158-1142 | 2014-01-16 |
1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
1417384249 | Quirt Family Dentistry, Sc | Dentist | 8907 S Howell Ave, Oak Creek, WI 53154-4460 | 2013-10-12 |
1922442300 | Quirt Family Dentistry, Sc | Dentist | 3813 E Calumet St, Appleton, WI 54915-4158 | 2013-04-29 |
1871869222 | Quirt Family Dentistry, Sc | Dentist | 2812 E Main St, Merrill, WI 54452-3470 | 2012-03-30 |
1881969384 | Quirt Family Dentistry, Sc | Dentist | 107 S 3rd Ave, Edgar, WI 54426-9282 | 2012-03-16 |
Street Address |
5401 CADDIS BND UNIT B |
City | FITCHBURG |
State | WI |
Zip Code | 53711-7122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
Find all providers in zip 53711 |
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 |
---|---|---|---|---|
1699141721 | Megan Elizabeth Oldridge | Dentist | 2960 Triverton Pike Dr Ste 104, Fitchburg, WI 53711-7514 | 2015-08-12 |
1033518428 | Derek M Levesque | Dentist | 26 Whalon St, Fitchburg, MA 01420-7138 | 2014-08-21 |
1760648927 | Harveen Bajwa | Dentist | 394 Water St, Fitchburg, MA 01420-5602 | 2008-08-06 |
1396916060 | Dininno Family Dental, Inc. | Dentist | 931 South St, Fitchburg, MA 01420-7019 | 2008-03-20 |
1730200098 | Jeffrey Sharkus | Dentist | 5950 Seminole Centre Ct, Fitchburg, WI 53711-5023 | 2007-04-03 |
1861517104 | Christopher Masse | Dentist | 1040 South St, Fitchburg, MA 01420-7028 | 2007-03-19 |
1083755748 | Patricia J Richardson | Dentist | 2945 Triverton Pike Dr Ste 100, Fitchburg, WI 53711-7509 | 2007-02-08 |
1871644393 | John Seaborn Sampson IIi | Dentist | 134 Summer St, Fitchburg, MA 01420-5869 | 2007-01-12 |
1336205699 | Edward Stephen Radivonyk Jr. | Dentist | 637 Main Street, Fitchburg, MA 01420-3107 | 2006-12-29 |
1194883868 | Michael Charles Meyer | Dentist | 245 Summer Street, Fitchburg, MA 01420 | 2006-12-05 |
Find all providers in FITCHBURG |
Please comment or provide details below to improve the information on QUIRT FAMILY DENTISTRY, SC.
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.