MARATHON FAMILY DENTISTRY, LLC (NPI# 1073026936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073026936 |
| Entity Type | Organization |
| Organization Name | MARATHON FAMILY DENTISTRY, LLC |
| Practice Address |
981 Blue Stone Ln Marathon WI 54448-6800 |
| Practice Telephone | 7154432200 |
| Mailing Telephone | 7154432200 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | OLGA GRENOVA (DIRECTOR OF ACCOUNTING) |
| Authorized Official Telephone | 6088332213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
981 BLUE STONE LN |
| City | MARATHON |
| State | WI |
| Zip Code | 54448-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437288891 | Jeremy Hoffman | Dentist | 981 Blue Stone Ln, Marathon, WI 54448-6800 | 2007-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122063 | Christine A. Hoyt | Technician | 135830 Countryside Drive, Marathon, WI 54448 | 2019-09-09 |
| 1952962763 | Martell Eyecare, LLC | Eyewear Supplier (Equipment, not the service) | 703 Third Street, Marathon, WI 54448 | 2019-06-23 |
| 1003978321 | Jean E Matushak | Registered Nurse | 4152 County Rd N, Marathon, WI 54448 | 2006-12-14 |
| 1760461040 | Mark A Wozniak | Physician Assistant | 668 Maratech Avenue 4, Marathon, WI 54448 | 2006-01-13 |
| 1548453202 | Michael James Strong | Dentist | 601 Main St, Marathon, WI 54448 | 2007-08-24 |
| 1477628410 | Walter Mark Meacham | Dentist | 500 Main Street, Marathon, WI 54448 | 2006-11-22 |
| 1649334962 | Raymond M Goga | Optometrist | 703 3rd St., Marathon, WI 54448-0117 | 2006-12-21 |
| 1093880031 | Noelle Olivia Marks | Dentist | 500 Main Street, Marathon, WI 54448-0187 | 2006-11-22 |
| 1639219454 | Yaser Haleem | Chiropractor | 703 West 3rd St, Marathon, WI 54448-0322 | 2007-02-08 |
| 1265515597 | Aspirus | Non-Pharmacy Dispensing Site | 670 Community Cir, Marathon, WI 54448-9003 | 2006-10-23 |
| Find all providers in zip 54448 | ||||
| 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 |
|---|---|---|---|---|
| 1326396748 | Lester Gil Dds, Pa | Dentist | 11399 Overseas Hwy Ste 5, Marathon, FL 33050-3412 | 2012-08-15 |
| 1104152446 | John Briggle | Dentist | 5800 Overseas Hwy, Marathon, FL 33050-2735 | 2009-10-21 |
| 1548453202 | Michael James Strong | Dentist | 601 Main St, Marathon, WI 54448 | 2007-08-24 |
| 1093880031 | Noelle Olivia Marks | Dentist | 500 Main Street, Marathon, WI 54448-0187 | 2006-11-22 |
| 1477628410 | Walter Mark Meacham | Dentist | 500 Main Street, Marathon, WI 54448 | 2006-11-22 |
| 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.