WINDSOR FAMILY DENTAL, S.C. (NPI# 1003023367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003023367 |
| Entity Type | Organization |
| Organization Name | WINDSOR FAMILY DENTAL, S.C. |
| Practice Address |
6729 Lake Road Windsor WI 53598-0000 |
| Mailing Address |
6729 Lake Road Po Box 287 Windsor WI 53598-0000 |
| Practice Telephone | 6088465407 |
| Practice Fax Number | 6088462493 |
| Mailing Telephone | 6088465407 |
| Mailing Fax Number | 6088462493 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-11-10 |
| Authorized Official Name | WILLIAM J ENDICOTT (OWNER) |
| Authorized Official Telephone | 6088465407 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
6729 LAKE ROAD |
| City | WINDSOR |
| State | WI |
| Zip Code | 53598-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356564249 | S A Khan | Dentist | 6729 Lake Road, Windsor, WI 53598 | 2007-04-10 |
| 1962626077 | Scott Howard Nettum | Dentist | 6729 Lake Road, Windsor, WI 53598-0000 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518127877 | Edward James Saur | Dentist | 6597 Lake Road, Windsor, WI 53598 | 2008-06-11 |
| 1790799302 | Tara Marie Bell | Dentist | 6729 Lake Rd, Windsor, WI 53598 | 2006-07-28 |
| 1750359832 | Philip R Carlson | Radiology | 6696 Wolf Hollow Rd, Windsor, WI 53598 | 2006-03-14 |
| 1528028701 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 4131 Meridian Dr, Windsor, WI 53598-0000 | 2006-03-23 |
| 1043798846 | Toni Boegel | Licensed Practical Nurse | 6648 Scattergood Ln, Windsor, WI 53598-2504 | 2018-08-02 |
| 1144593930 | Forward Health | Skilled Nursing Facility | 6784 Bootmaker Way, Windsor, WI 53598-9630 | 2012-02-09 |
| 1801160114 | Kristina Marie Kurtz | Licensed Practical Nurse | 6784 Bootmaker Way, Windsor, WI 53598-9630 | 2012-03-05 |
| 1841613395 | Keith Klinger | Physical Therapy Assistant | 6522 Lake Rd Apt 4, Windsor, WI 53598-9651 | 2014-02-03 |
| 1649718008 | Heather Marie Burdett | Registered Nurse | 4528 Scenic View Rd, Windsor, WI 53598-9697 | 2017-02-06 |
| 1841797230 | Gretchen Straus | Counselor | 4131 Meridian Dr, Windsor, WI 53598-9699 | 2018-04-11 |
| Find all providers in zip 53598 | ||||
| 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 |
|---|---|---|---|---|
| 1730719279 | Bartley Dentistry | Dentist | 697 Poquonock Ave., Windsor, CT 06095-2259 | 2020-01-23 |
| 1902391824 | Alyssa D Peake | Dentist | 8741 Brooks Rd S Ste 201, Windsor, CA 95492-7854 | 2018-06-22 |
| 1861905036 | Smiles of Windsor, LLC | Dentist | 408 Windsor Ave, Windsor, CT 06095-4467 | 2017-11-09 |
| 1144744541 | Judson D Valstad Dmd Inc | Dentist | 1292 Main St Unit 2, Windsor, CO 80550-5965 | 2017-07-28 |
| 1386955508 | Davis Wayne Gardner | Dentist | 70 E Windsor Blvd Ste D, Windsor, VA 23487-9443 | 2010-06-23 |
| 1427214659 | Donald S Himel | Dentist | 8968 Brooks Rd S, Windsor, CA 95492-7810 | 2008-08-07 |
| 1639334204 | Serena Sze-wing Chun | Dentist | 911 Medical Center Plz Ste 13, Windsor, CA 95492-7816 | 2008-07-23 |
| 1801050554 | Brad Evan Chun | Dentist | 911 Medical Center Plz, Suite # 13, Windsor, CA 95492-7815 | 2008-07-11 |
| 1457519043 | Christopher Robert Murolo | Dentist | 110 Mirna Ct, Windsor, CA 95492-8894 | 2008-05-30 |
| 1659581726 | George Gerald Grayson | Dentist | 600 Tecumseh Rd. East, 140, Windsor, ONTARIO N8X4X9 | 2007-05-23 |
| Find all providers in WINDSOR | ||||
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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.