MDC APPLETON S (NPI# 1083056600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083056600 |
| Entity Type | Organization |
| Organization Name | MDC APPLETON S |
| Practice Address |
1707 S Oneida St Appleton WI 54915-1302 |
| Mailing Address |
101 Camelot Dr Suite 3 Fond Du Lac WI 54935-8048 |
| Practice Telephone | 9207342392 |
| Mailing Telephone | 9209486407 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | DR. WILLIAM MAUTHE III (OWNER) |
| Authorized Official Telephone | 9209486407 |
| 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 |
1707 S ONEIDA ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353643 | Lindsay Miller | Massage Therapist | 1707 S Oneida St, Appleton, WI 54915-1302 | 2020-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1922442300 | Quirt Family Dentistry, Sc | Dentist | 3813 E Calumet St, Appleton, WI 54915-4158 | 2013-04-29 |
| 1972760387 | Katherine A Leyes | Dentist | 3300 W College Ave, Appleton, WI 54914-3920 | 2008-05-22 |
| 1780851188 | Allcare Dental & Dentures of Wi PC | Dentist | 4182 W Wisconsin Ave, Appleton, WI 54913-8652 | 2008-05-14 |
| 1467642850 | Michael W. Hayes | Dentist | 1500 N Casaloma Dr, # 206, Appleton, WI 54913-8216 | 2007-07-31 |
| 1316162548 | Jeffrey Jon Paffenroth | Dentist | 828 N Westhill Blvd, Appleton, WI 54914-5788 | 2007-04-14 |
| 1992826507 | Kevin L. Skjei | Dentist | 32 S Behl St, Appleton, MN 56208-1616 | 2007-04-02 |
| 1295854768 | Bruce L. Walters | Dentist | 5740 W Grande Market Dr, Appleton, WI 54913-8406 | 2007-03-28 |
| 1598889222 | Grand View Family and Cosmetic Dentistry | Dentist | 381 S Kools St, Appleton, WI 54914-3932 | 2007-03-19 |
| 1447380811 | Fox Valley Dental Assoc. Ltd. | Dentist | 2315 W Main St, Appleton, WI 54911-4178 | 2007-03-06 |
| Find all providers in APPLETON | ||||
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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.