SOUTHWEST DENTAL ASSOCIATES, S.C. (NPI# 1134253420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134253420 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST DENTAL ASSOCIATES, S.C. |
| Practice Address |
1208 Joseph Street Dodgeville WI 53533 |
| Practice Telephone | 6089357700 |
| Mailing Telephone | 6089357700 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL C FISHER (OWNER) |
| Authorized Official Telephone | 6089357700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4191 | WI | Ambulatory Health Care Facilities |
| Street Address |
1208 JOSEPH STREET |
| City | DODGEVILLE |
| State | WI |
| Zip Code | 53533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437361706 | Jeffrey Scott Wilton | Dentist | 103 E Fountain St, Dodgeville, WI 53533 | 2007-05-07 |
| 1750420170 | Michael Charles Fisher | Dentist | 1208 North Joseph Street, Dodgeville, WI 53533 | 2007-02-05 |
| 1225191901 | Wal-mart Stores East, Lp | Technician/Technologist | 601 Leffler St., Dodgeville, WI 53533 | 2006-12-18 |
| 1164458626 | Laura Jean Gjestson | Counselor | 829 S Iowa St, Dodgeville, WI 53533 | 2006-06-24 |
| 1235602517 | Lauren Rae Bakken Olinger | Respiratory Therapist, Registered | 800 Compassion Way, Cardio Pulmonary, Dodgeville, WI 53533 | 2019-01-09 |
| 1124400627 | Katherine J Ponsler | Physician Assistant | 833 S Iowa St, Ste 102, Dodgeville, WI 53533 | 2015-06-22 |
| 1326458803 | Jenifer Lynn Dankyi | Obstetrics & Gynecology | 800 Compassion Way, Dodgeville, WI 53533 | 2014-05-06 |
| 1063430593 | Young I Kim | Surgery | 833 S Iowa St, Suite 106, Dodgeville, WI 53533 | 2006-07-17 |
| 1417226325 | Jaimee Jordan | Dietitian, Registered | 800 Compassion Way, Dodgeville, WI 53533-0800 | 2011-12-21 |
| 1487745501 | Upland Hills Health, Inc. | General Acute Care Hospital | 800 Compassion Way, Dodgeville, WI 53533-0800 | 2006-09-27 |
| Find all providers in zip 53533 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245727940 | Dodgeville Dental LLC | Clinic/Center | 703 N Bequette St, Dodgeville, WI 53533-1109 | 2018-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
| 1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
| 1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
| 1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
| 1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
| 1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
| 1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
| 1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
| 1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | DODGEVILLE |
| Zip Code | 53533 |
Please comment or provide details below to improve the information on SOUTHWEST DENTAL ASSOCIATES, S.C..
| 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.