PAUL JEFFRY CORRELL (NPI# 1154330967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154330967 |
| Entity Type | Individual |
| Full Name | PAUL JEFFRY CORRELL |
| Practice Address |
2725 Marshall Ct Madison WI 53705-2288 |
| Practice Telephone | 6082312502 |
| Practice Fax Number | 6082312949 |
| Mailing Telephone | 6082312502 |
| Mailing Fax Number | 6082312949 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
WI | Dental Providers |
| Street Address |
2725 MARSHALL CT |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366451171 | Prosthetic Dental Associates, Sc | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2006-08-08 |
| 1750674362 | Kelly Anorah Beck | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2011-05-16 |
| 1366632192 | Melissa M Peterson | Specialist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2007-07-27 |
| 1306900949 | Global Prosthetics Inc | Technician/Technologist | 2725 Marshall Ct, Madison, WI 53705 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871949107 | Alicia Estrella | Dentist | 406 Science Dr Ste 402, Madison, WI 53711-1068 | 2016-05-05 |
| 1972655736 | Harold Kolodney, Jr. | Dentist | 7728 Old Canton Rd, Suite B, Madison, MS 39110-6103 | 2007-01-18 |
| 1801989496 | Eric J Rasmussen | Dentist | 4002 Monona Dr, Madison, WI 53716-1138 | 2006-10-02 |
| 1366451171 | Prosthetic Dental Associates, Sc | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2006-08-08 |
| 1750674362 | Kelly Anorah Beck | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2011-05-16 |
| 1023262581 | Margaret Mary Farrell | Dentist | 303 Main St, Madison, NJ 07940-2338 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679132815 | Wisconsin Oral Surgery LLC | Dentist | 10401 W Lincoln Ave Ste 101, West Allis, WI 53227-1255 | 2019-06-11 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1194066167 | Christman Dental, Ltd | Dentist | 425 W Prairie View Road, Chippewa Falls, WI 54729-3389 | 2013-03-15 |
| 1033482500 | Rupal Suresh Vasani | Dentist | 2501 County Highway I, Chippewa Falls, WI 54729-1422 | 2012-02-14 |
| 1659654127 | Eon Clinics | Dentist | 20700 Swenson Dr, Waukesha, WI 53186-0900 | 2011-09-21 |
| 1053641126 | Jerry W Walker | Dentist | 6060 N Bay Ridge Ave, Milwaukee, WI 53217-4663 | 2010-01-12 |
| 1972742039 | Dean W Crow | Dentist | 2314 N. Grandview Blvd, Suite 206, Waukesha, WI 53188-1675 | 2009-02-13 |
| 1912143439 | David Joseph Kachelmeyer | Dentist | 1331 W Birch Ct, Milwaukee, WI 53209-5118 | 2009-01-06 |
| 1457531675 | Todd Russell Krueger | Dentist | 8531 W Lincoln Ave, West Allis, WI 53227-2542 | 2007-11-05 |
| 1518089523 | Charles Edward Pechous IIi | Dentist | 6124 Sheridan Rd, Kenosha, WI 53143-4527 | 2007-04-03 |
| 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.