DR. JAN L SEUBERT (NPI# 1154540615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154540615 |
| Entity Type | Individual |
| Full Name | DR. JAN L SEUBERT |
| Credential | DDS |
| Practice Address |
260 W Cook St Portage WI 53901-2106 |
| Practice Telephone | 6087422331 |
| Practice Fax Number | 6087424308 |
| Mailing Telephone | 6087422331 |
| Mailing Fax Number | 6087424308 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3967 | WI | Dental Providers |
| Street Address |
260 W COOK ST |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1063946440 | Mitchell Seubert | Student in an Organized Health Care Education/Training Program | 260 W Cook St, Portage, WI 53901-2106 | 2017-04-12 |
| 1730308289 | Mark J Curran Sr. | Dentist | 260 W Cook St, Portage, WI 53901-2106 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| 1598724106 | Beatriz Somoza-blanco | Family Medicine | 2977 County Road Cx, Portage, WI 53901 | 2006-03-22 |
| Find all providers in zip 53901 | ||||
| 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 |
|---|---|---|---|---|
| 1225696248 | Christopher J Fronczak | Dentist | 8080 Moorsbridge Rd Ste 101, Portage, MI 49024-4422 | 2019-06-04 |
| 1306308515 | Healthy Smiles Portage, LLC | Dentist | 6280 W Main St, Portage, IN 46368-4670 | 2019-04-05 |
| 1093281149 | Secure Dental Vii | Dentist | 6129 Us Highway 6, Portage, IN 46368-5058 | 2018-10-16 |
| 1952821837 | Adalene Marie Chabon | Dentist | 8150 Moorsbridge Rd Ste A, Portage, MI 49024-7419 | 2017-06-22 |
| 1366848509 | Seubert Family Dentistry, LLC | Dentist | 260 W. Cook St., Portage, WI 53901-2106 | 2014-11-17 |
| 1265690044 | Joseph Michael Labella | Dentist | 1508 New Pinery Rd, Portage, WI 53901-1312 | 2008-05-28 |
| 1295930196 | Bewick Dental Corp | Dentist | 3410 Willowcreek Rd, Portage, IN 46368-5089 | 2007-06-19 |
| 1548462526 | Nicas Yiannias | Dentist | 5943 Central Ave, Portage, IN 46368-2946 | 2007-06-01 |
| 1164642906 | West Wind Family &cosmetic Denistry | Dentist | 1617 E Milham Ave, Portage, MI 49002-3049 | 2007-04-26 |
| 1699802280 | Frank Michael Walerko | Dentist | 6060 Lute Rd, Portage, IN 46368-5008 | 2007-02-28 |
| Find all providers in PORTAGE | ||||
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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.