LODI VALLEY GENTLE DENTAL LLP (NPI# 1861694929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861694929 |
| Entity Type | Organization |
| Organization Name | LODI VALLEY GENTLE DENTAL LLP |
| Practice Address |
216 S Main St Lodi WI 53555-1121 |
| Practice Telephone | 6085924398 |
| Practice Fax Number | 6085925245 |
| Mailing Telephone | 6085924398 |
| Mailing Fax Number | 6085925245 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GENE RICHARD SORENSEN (PARTNERCHIP CO-OWNER) |
| Authorized Official Telephone | 6085924398 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5001592 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33561900 | 05 |
| Street Address |
216 S MAIN ST |
| City | LODI |
| State | WI |
| Zip Code | 53555-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093814659 | Gene Richard Sorensen | Dentist | 216 S Main St, Lodi, WI 53555-1121 | 2006-09-21 |
| 1740389238 | Joel Patrick Crane | Dentist | 216 S Main St, Lodi, WI 53555-1121 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722208 | Cara Kjorlie | Licensed Practical Nurse | W12277 Cty J, Lodi, WI 53555 | 2019-10-28 |
| 1437282795 | Perry Allen Barrette | Dentist | 204 Pond St, Lodi, WI 53555 | 2007-03-14 |
| 1467417576 | Rian J Podein | Family Medicine | 160 Valley Drive, Lodi, WI 53555 | 2006-04-20 |
| 1992789523 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 700 Clark St, Lodi, WI 53555-1010 | 2005-12-06 |
| 1730643123 | Divine Rehabilitation and Nursing At Lodi LLC | Skilled Nursing Facility | 700 Clark St, Lodi, WI 53555-1010 | 2019-01-30 |
| 1467719203 | Colleen R Jones | Occupational Therapy Assistant | 700 Clark St, Lodi, WI 53555-1010 | 2012-04-18 |
| 1851545966 | Jean Elizabeth Gates | Occupational Therapist | 700 Clark St, Lodi, WI 53555-1010 | 2008-11-17 |
| 1376743385 | Marcie Marie Wenzel | Occupational Therapy Assistant | 700 Clark St, Lodi, WI 53555-1010 | 2007-07-19 |
| 1255531190 | Michelle Marie Kaschinske | Occupational Therapist | 700 Clark St, Lodi, WI 53555-1010 | 2007-07-19 |
| 1285828749 | Lodi School District | Local Education Agency (LEA) | 115 School St, Lodi, WI 53555-1046 | 2007-08-28 |
| Find all providers in zip 53555 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1417585647 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 1361 S Lower Sacramento Rd Ste 605, Lodi, CA 95242-9296 | 2020-04-01 |
| 1609403021 | Gill Dalla Dental Inc | Clinic/Center | 601 W Kettleman Ln, Lodi, CA 95240-6006 | 2020-03-25 |
| 1790253524 | Franklin Miyasaki and Rasi Professional Dental Corporation | Clinic/Center | 630 S Fairmont Ave Ste D, Lodi, CA 95240-3803 | 2018-11-09 |
| 1225203334 | Jeffrey D Mckinley Etal Ptr | Clinic/Center | 109 Harris St, Lodi, OH 44254-1308 | 2008-04-29 |
| 1316158140 | James B. Duhamel, Dental Corporation | Clinic/Center | 1420 S Mills Ave Ste G, Lodi, CA 95242-4291 | 2007-05-24 |
| 1982167466 | Stephen Cheung Dds | Clinic/Center | 1420 S Mills Ave, Lodi, CA 95242-4291 | 2019-04-10 |
| 1255802435 | Utopia Dental Arts LLC | Clinic/Center | 426 Passaic Ave, Lodi, NJ 07644-1534 | 2018-12-16 |
| 1316483803 | Anisha Ranchhod Dds, Inc. | Clinic/Center | 1300 W Lodi Ave, Suite M, Lodi, CA 95242-3000 | 2017-01-09 |
| 1447430624 | Ghozlan Dental Corp. | Clinic/Center | 1745 W Kettleman Ln, Suite B, Lodi, CA 95242-9287 | 2007-11-06 |
| Find all providers in LODI | ||||
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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.