RAYMOND MATTHEW MADDOX (NPI# 1205139821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205139821 |
| Entity Type | Individual |
| Full Name | RAYMOND MATTHEW MADDOX |
| Credential | DDS |
| Practice Address |
1270 W Main St Sun Prairie WI 53590-1930 |
| Mailing Address |
1270 W Main St Sun Prairie WI 53590 |
| Practice Telephone | 6088257100 |
| Mailing Telephone | 3174324753 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2012-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12011570A | IN | Dental Providers |
| Street Address |
1270 W MAIN ST |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063995553 | Katherine A Schuler | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2018-09-11 |
| 1861849945 | Jessica Diaz | Dental Hygienist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2016-05-19 |
| 1568823839 | Angela Engelmann | Dental Hygienist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2016-03-15 |
| 1255772349 | Sarah E Dewolf | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2013-07-17 |
| 1417260712 | Kasheena S Hollis | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2010-07-15 |
| 1730349432 | Jamie L. Mandigo | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2008-06-16 |
| 1295916419 | Matt R Agnew | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| 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 |
|---|---|---|---|---|
| 1932560604 | Dr Peter Lotowski LLC | Dentist | 1260 W Main St # 1, Sun Prairie, WI 53590-1930 | 2016-03-09 |
| 1871980573 | Daniel Stevens | Dentist | 180 Wilburn Rd, Sun Prairie, WI 53590-1476 | 2015-04-20 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1558655704 | Margaret M Fisher | Dentist | 140 N City Station Dr, Sun Prairie, WI 53590-4642 | 2011-06-06 |
| 1013078955 | Smith & Olsen Dental LLC | Dentist | 100 Wilburn Rd, 212, Sun Prairie, WI 53590-1478 | 2006-12-13 |
| 1902901275 | Robert J Carpenter | Dentist | 1465 W Main St, Sun Prairie, WI 53590-1837 | 2006-09-13 |
| 1063437960 | Thomas Leonard Wilhelms | Dentist | 601 N Thompson Rd, Sun Prairie, WI 53590-4014 | 2006-07-12 |
| 1932695913 | Andrew Brodek | Dentist | 180 Wilburn Rd, Sun Prairie, WI 53590-1476 | 2018-07-02 |
| 1417330945 | Mdc Sun Prairie LLC | Dentist | 1460 W Main St, Sun Prairie, WI 53590-1846 | 2015-07-01 |
| 1417260712 | Kasheena S Hollis | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2010-07-15 |
| Find all providers in SUN PRAIRIE | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
Please comment or provide details below to improve the information on RAYMOND MATTHEW MADDOX.
| 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.