DR. ROBERT MELVIN PEDERSON (NPI# 1063529808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063529808 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MELVIN PEDERSON |
| Credential | D.D.S. |
| Practice Address |
853 W Main St Mondovi WI 54755-1429 |
| Practice Telephone | 7159266035 |
| Mailing Telephone | 7159266035 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4062-015 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33687500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987813 | Robert W Pederson | Internal Medicine | 207 E Buena Vista St, Santa Fe, NM 87505-2621 | 2005-07-29 |
| Street Address |
853 W MAIN ST |
| City | MONDOVI |
| State | WI |
| Zip Code | 54755-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952827412 | Alexandria Pinkos | Physical Therapist | 250 State Road 37, Mondovi, WI 54755 | 2017-08-16 |
| 1346634284 | Jennifer L Kronenberg | Social Worker | 1150 Nordic Cir, Mondovi, WI 54755 | 2015-03-27 |
| 1457464075 | Anthony Michael Sciascia | Dentist | 156 N Franklin St, Mondovi, WI 54755 | 2006-08-17 |
| 1619981602 | Douglas R Lochner-wright | Physical Therapist | 700 Buffalo St, Mondovi, WI 54755 | 2006-07-28 |
| 1477614527 | Gordon John Helgoe | Chiropractor | E9225 Hwy 85, Mondovi, WI 54755-0021 | 2006-12-13 |
| 1053518241 | Health Steps, L.L.C. | Chiropractor | E9225 Hwy 85, Mondovi, WI 54755-0021 | 2007-06-29 |
| 1215066212 | Durand Optometry Clinic LLC Dba Mondovi Eye and Optical | Optometrist | 129 S. Eau Claire St., Mondovi, WI 54755-0087 | 2007-03-05 |
| 1780154997 | Daniel Joseph Johnson | Contractor | 234 Columbia St, Mondovi, WI 54755-1104 | 2018-11-29 |
| 1316368301 | Nancy Polzer Hearing Aid Services | Hearing Aid Equipment | 671 N Eau Claire St, Mondovi, WI 54755-1115 | 2013-12-18 |
| 1326011818 | James D. Schmittfranz Jr. | Chiropractor | 143 N Franklin St, Mondovi, WI 54755-1117 | 2006-02-07 |
| Find all providers in zip 54755 | ||||
| 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 |
|---|---|---|---|---|
| 1548821218 | John Shook | Dentist | 132 Monroe St # B, Mondovi, WI 54755-1731 | 2019-06-24 |
| 1366736662 | Henry Comstock Youngman | Dentist | 132 Monroe St, Suite B, Mondovi, WI 54755-1731 | 2011-06-03 |
| 1073654992 | Robert Michael Miklesh | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-02-12 |
| 1417335787 | Merit Dental of Massachusetts PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2015-05-07 |
| 1154769529 | Benjamin Joseph Romenesko | Dentist | 132 Monroe St, Suite B, Mondovi, WI 54755-1731 | 2013-06-07 |
| 1679872378 | Mountain Dental of New Mexico PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2011-03-21 |
| 1720205560 | Mohamed F Harunani | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-04-20 |
| 1992827174 | Jeffrey William Moos | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-04-06 |
| 1568582633 | David Andrew Young | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-03-30 |
| 1124159983 | Modern Dental Professionals, Mn PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-03-07 |
| Find all providers in MONDOVI | ||||
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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.