CLEARWATER DENTAL SC (NPI# 1134408966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134408966 |
| Entity Type | Organization |
| Organization Name | CLEARWATER DENTAL SC |
| Practice Address |
431 E Clairemont Ave Ste B Eau Claire WI 54701-3685 |
| Practice Telephone | 7155145300 |
| Practice Fax Number | 7155145302 |
| Mailing Telephone | 7155145300 |
| Mailing Fax Number | 7155145302 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |
| Authorized Official Name | MRS. BOBBI S POTTER (OFFICE MANAGER) |
| Authorized Official Telephone | 7155145300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1697G | MN | Dental Providers |
| Street Address |
431 E CLAIREMONT AVE STE B |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-3685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| 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 |
|---|---|---|---|---|
| 1003475203 | Nicholas Miskulin | Dentist | 615 W Clairemont Ave # 120, Eau Claire, WI 54701-6223 | 2019-06-11 |
| 1316467517 | So Hee Kim | Dentist | 3809 Oakwood Mall Dr # C, Eau Claire, WI 54701-3042 | 2017-06-20 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1982858247 | Phillip R Douglas | Dentist | 4850 Keystone Xing, Eau Claire, WI 54701-5076 | 2008-11-12 |
| 1710155569 | Thomas William Machgan | Dentist | 3522 Oakwood Hills Pkwy, Eau Claire, WI 54701-9299 | 2008-02-14 |
| 1063693331 | William A Woehrmann Dds Sc | Dentist | 2125 Heights Dr Ste 2c, Eau Claire, WI 54701-6146 | 2007-11-15 |
| 1659569549 | Maximillian Anton Menacher Jr. | Dentist | 1025 N Hastings Way, Suite 3, Eau Claire, WI 54703-1898 | 2007-10-05 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1679783443 | Regis Court Family Dental S.c. | Dentist | 1102 Regis Court, Eau Claire, WI 54701 | 2007-05-23 |
| 1639293343 | Sean Thomas Tarpenning | Dentist | 4710 Commerce Valley Rd, Eau Claire, WI 54701-9033 | 2007-03-19 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on CLEARWATER DENTAL SC.
| 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.