DR. WILLIAM J. BAXA (NPI# 1770695892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770695892 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM J. BAXA |
| Practice Address |
35791 Osseo Rd Independence WI 54747-9096 |
| Mailing Address |
35791 Osseo Rd Po Box 550 Independence WI 54747-9096 |
| Practice Telephone | 7159853316 |
| Practice Fax Number | 7159852542 |
| Mailing Telephone | 7159853316 |
| Mailing Fax Number | 7159852542 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0003045 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33445800 | 05 | |
| WI | BCBS | 391597408010 | 01 |
| WI | WPS | 76-993 | 01 |
| Street Address |
35791 OSSEO RD |
| City | INDEPENDENCE |
| State | WI |
| Zip Code | 54747-9096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780636480 | Gundersen Clinic, Ltd. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-05-17 |
| 1285988733 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2012-11-06 |
| 1457361941 | Baxa Dental Inc., S.c. | Dentist | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790817641 | County of Trempealeau | Custodial Care Facility | W21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1982736831 | County of Trempealeau | Custodial Care Facility | W 21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1184822710 | Sarah J Wruck | Dental Hygienist | 23140 Whitehall Road, Independence, WI 54747-0125 | 2007-07-05 |
| 1255660759 | Western Dairyland Eoc | Clinic/Center | 23140 Whitehall Rd, Independence, WI 54747-7702 | 2009-12-11 |
| 1356549422 | Western Dairyland Eoc, Inc. | Dental Hygienist | 23122 Whitehall Rd, Independence, WI 54747-7702 | 2007-07-10 |
| 1518127000 | Trempealeau County Health Care Center | Custodial Care Facility | 36125 E End Rd, Independence, WI 54747-8080 | 2008-06-10 |
| 1952541013 | County of Trempealeau | Assisted Living Facility | 36125 E End Rd, Independence, WI 54747-8080 | 2009-03-03 |
| 1306899513 | County of Trempealeau | Custodial Care Facility | 23094 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-18 |
| 1548227770 | County of Trempealeau | Clinic/Center | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-01 |
| 1346794344 | Nicole Borreson | Counselor | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2016-08-08 |
| Find all providers in zip 54747 | ||||
| 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 |
|---|---|---|---|---|
| 1568946523 | Thomas M Bilski Dds and Associates Inc | Dentist | 6527 Brecksville Rd Ste B, Independence, OH 44131-4859 | 2018-09-17 |
| 1790276442 | Julia Suzanne Jenkins | Dentist | 2052 Harris Pike # 54, Independence, KY 41051-7783 | 2018-05-29 |
| 1760920805 | Mortenson Family Dental Center - Independence, LLC | Dentist | 2052 Harris Pike, Independence, KY 41051-7783 | 2017-02-09 |
| 1659768596 | Terry Charles Williams | Dentist | 17008 E 45th St S, Independence, MO 64055-7630 | 2015-04-17 |
| 1154737658 | Devishkumar H Patel | Dentist | 2320 W Main St, Independence, KS 67301-8435 | 2014-07-03 |
| 1609182286 | Jeffrey David Peter | Dentist | 2025 Declaration Dr Ste B, Independence, KY 41051-7983 | 2010-08-20 |
| 1831427731 | Michael James Beauregard | Dentist | 11105 E Winner Rd, Independence, MO 64052-3837 | 2009-12-03 |
| 1679733265 | Porter James Clark | Dentist | 422 E Main St, Independence, KS 67301-3716 | 2008-06-17 |
| 1447458773 | Danny Nakhla | Dentist | 5302 Madison Pike, Independence, KY 41051-8652 | 2007-07-09 |
| 1609071067 | Carl James Stefaniak | Dentist | 6533 Brecksville Road, Suite A, Independence, OH 44131-4897 | 2007-06-17 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 54747 |
Please comment or provide details below to improve the information on DR. WILLIAM J. BAXA.
| 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.