SMILE CLINIC - MANITOWOC LLC (NPI# 1285124024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285124024 |
| Entity Type | Organization |
| Organization Name | SMILE CLINIC - MANITOWOC LLC |
| Practice Address |
1602 N 18th St Manitowoc WI 54220-1858 |
| Mailing Address |
4607 Royal Dr Eau Claire WI 54701-2928 |
| Practice Telephone | 9206829231 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | TODD HEHLI (OWNER) |
| Authorized Official Telephone | 7158338755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1602 N 18TH ST |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215961685 | Scott Martin Behringer | Dentist | 1602 N 18th St, Manitowoc, WI 54220-1858 | 2006-07-10 |
| 1598878142 | Smile Clinic, S.c. | Dentist | 1602 N 18th St, Manitowoc, WI 54220-1858 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| 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 |
|---|---|---|---|---|
| 1336390327 | Smile Wisconsin Ltd | Dentist | 925 S 15th St, Manitowoc, WI 54220-5051 | 2008-10-08 |
| 1336278795 | Noemi Gisell Garcia | Dentist | 1010 Maritime Dr, Manitowoc, WI 54220-2922 | 2007-03-03 |
| 1669530002 | Dan L Beaupre | Dentist | 4725 Plank Road, Manitowoc, WI 54220 | 2006-12-05 |
| 1629186986 | W G Marinaccio Dds Ltd | Dentist | 201 East Waldo Blvd, Suite 102, Manitowoc, WI 54220-2908 | 2006-08-28 |
| 1235247826 | Sandra Marie Piefer-tomczak | Dentist | 1415 North 8th Street, Manitowoc, WI 54220-2051 | 2006-08-25 |
| 1013928498 | Thomas A Paulson | Dentist | 1102 S 8th St, Manitowoc, WI 54220-5310 | 2006-08-10 |
| 1477577088 | Shoreline Dental Associates, S.c. | Dentist | 1415 N 8th St, Manitowoc, WI 54220-2051 | 2006-07-27 |
| 1588685028 | Ronald Egan | Dentist | 3712 Kadow St, Manitowoc, WI 54220-5450 | 2006-07-21 |
| 1215961685 | Scott Martin Behringer | Dentist | 1602 N 18th St, Manitowoc, WI 54220-1858 | 2006-07-10 |
| 1932137742 | Robert E Bandt | Dentist | 3322 Menasha Ave, Manitowoc, WI 54220-1634 | 2006-06-29 |
| Find all providers in MANITOWOC | ||||
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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.