DR. KENNETH R BRISSON (NPI# 1083743355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083743355 |
| Entity Type | Individual |
| Full Name | DR. KENNETH R BRISSON |
| Credential | DDS |
| Practice Address |
821 Coulee Rd Hudson WI 54016-2211 |
| Practice Telephone | 7153863548 |
| Practice Fax Number | 7153863634 |
| Mailing Telephone | 7153863548 |
| Mailing Fax Number | 7153863634 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WI 1374-G | WI | Dental Providers |
| Street Address |
821 COULEE RD |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| 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 |
|---|---|---|---|---|
| 1912568023 | David Krtiz Bennett Jr. | Dentist | 155a Hickman Ave, Hudson, NC 28638-2449 | 2019-06-28 |
| 1083117337 | Alexander Bae | Dentist | 101 E Bison Hwy Ste A, Hudson, CO 80642-5029 | 2018-03-13 |
| 1013368760 | Open and Affordable Dental At Hudson Pllc | Dentist | 101 E. Bison Hwy, Unit A, Hudson, CO 80642 | 2016-06-23 |
| 1124251707 | Phillip Arthur Brandeen | Dentist | 766 Kilt Ct, Hudson, WI 54016-7974 | 2009-08-28 |
| 1568639003 | Hudson Family & Cosmetic Dentistry P.C. | Dentist | 66 Green Street, Hudson, NY 12534-2328 | 2008-05-14 |
| 1598947103 | Brian M. Whisler | Dentist | 213 Locust St, Hudson, WI 54016-1617 | 2007-12-05 |
| 1881896371 | Jaime Estrada | Dentist | 13736 Little Rd, Hudson, FL 34667-8024 | 2007-06-05 |
| 1447461280 | Thomas S. Kelly, Dds & Renee Commarato, Dds, Ms, Inc. | Dentist | 1295 Corporate Dr, Suite One, Hudson, OH 44236-4448 | 2007-05-24 |
| 1770704678 | Dori Lang Columbus | Dentist | 30 Lowell Rd, Suite #19, Hudson, NH 03051-2800 | 2007-05-01 |
| 1457474306 | Paul Joseph Congdon | Dentist | 1102 Beall St, Hudson, WI 54016-2060 | 2007-04-07 |
| Find all providers in HUDSON | ||||
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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.