REILLY FAMILY DENTAL LLC (NPI# 1063615342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063615342 |
| Entity Type | Organization |
| Organization Name | REILLY FAMILY DENTAL LLC |
| Practice Address |
1018 King Rd Tomahawk WI 54487 |
| Mailing Address |
Po Box 287 Tomahawk WI 54487 |
| Practice Telephone | 7154537071 |
| Practice Fax Number | 7154539461 |
| Mailing Telephone | 7154537071 |
| Mailing Fax Number | 7154539461 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DEWEY IRVING REILLY (DENTIST OWNER) |
| Authorized Official Telephone | 7154537071 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 5001190015 | WI | Dental Providers |
| N | 122300000X | Dentist | 6009015 | WI | Dental Providers |
| Y | 122300000X | Dentist | 5005793 | WI | Dental Providers |
| Street Address |
1018 KING RD |
| City | TOMAHAWK |
| State | WI |
| Zip Code | 54487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912100280 | Michael Patrick Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1780887067 | Dewey Irving Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912170564 | Tracey Jane Wise | Speech-Language Pathologist | 702 E King Rd, Tomahawk, WI 54487 | 2008-04-03 |
| 1548463813 | Dewey Nickels Reilly | Dentist | 1018 Kings Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1972723716 | Northern Sight Vision Clinic, LLC | Optometrist | 318 N. 6th Street, Tomahawk, WI 54487 | 2007-04-26 |
| 1003974411 | Larry A Hagen | Optometrist | 318 North 6th St, Tomahawk, WI 54487 | 2006-12-05 |
| 1922174648 | Robert David Imm | Dentist | 318 N Sixth St, Tomahawk, WI 54487 | 2006-11-27 |
| 1962480707 | Stoxen Pharmacy | Pharmacy | 12 W Wisconsin Avenue, Tomahawk, WI 54487 | 2006-01-03 |
| 1841670015 | Jill Vanstrydonk | Physical Therapy Assistant | 202 W Mohawk Dr, Ministry Head 2 Toe Therapy, Tomahawk, WI 54487 | 2015-06-03 |
| 1750556049 | Tomahawk Eye Care | Technician/Technologist | 28 S Tomahawk Ave, Tomahawk, WI 54487-1223 | 2008-04-28 |
| 1447425244 | Shawn Marquardt | Technician/Technologist | 28 South Tomahawk Ave, Tomahawk, WI 54487-1223 | 2008-04-23 |
| 1407067481 | Northern Chiropractic | Chiropractor | 119 W Wisconsin Ave, Tomahawk, WI 54487-1236 | 2007-05-24 |
| Find all providers in zip 54487 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912100280 | Michael Patrick Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1548463813 | Dewey Nickels Reilly | Dentist | 1018 Kings Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1942377981 | David C Callaway | Dentist | 205 E Washington Ave, Tomahawk, WI 54487-9125 | 2006-11-28 |
| 1780887067 | Dewey Irving Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.