FAMILY FIRST DENTAL ASSOCIATES OF WAUSA PC (NPI# 1336315837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336315837 |
| Entity Type | Organization |
| Organization Name | FAMILY FIRST DENTAL ASSOCIATES OF WAUSA PC |
| Other Organization Name | FAMILY 1ST DENTAL OF RANDOLPH |
| Practice Address |
105 Broadway Randolph NE 68771 |
| Practice Telephone | 4023370089 |
| Mailing Telephone | 4023370089 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DR. CHARLES S. SKOGLUND (OWNER) |
| Authorized Official Telephone | 4026443177 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Family 1st Dental of Randolph | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497926 | Family First Dental Associates of Wausa PC | Dentist | 406 West Locust, Plainview, NE 68769 | 2018-05-15 |
| Street Address |
105 BROADWAY |
| City | RANDOLPH |
| State | NE |
| Zip Code | 68771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528184249 | City of Randolph | Ambulance | 202 S Main St, Randolph, NE 68771-0143 | 2007-03-22 |
| 1639143621 | Careage Management LLC | Skilled Nursing Facility | 811 S Main St, Randolph, NE 68771-1706 | 2006-02-15 |
| 1164851408 | Joshua John Lamers | Occupational Therapist | 811 S Main St, Randolph, NE 68771-1706 | 2013-11-07 |
| 1417389602 | Marcia Jean Gubbels | Physical Therapy Assistant | 811 S Main St, Randolph, NE 68771-1706 | 2013-07-30 |
| 1568755577 | Randolph Healthcare, Inc. | Assisted Living Facility | 811 S Main St, Randolph, NE 68771-1706 | 2011-05-24 |
| 1952688962 | Mary Rose Wattier | Counselor | 501 E Jackson St, Randolph, NE 68771-2519 | 2011-11-05 |
| 1104276948 | Alicia Mavis | Nurse Practitioner | 106 E Wayne St, Randolph, NE 68771-5300 | 2016-06-13 |
| 1609969476 | David Mwebe | Family Medicine | 106 E Wayne St, Randolph, NE 68771-5300 | 2006-10-02 |
| 1700979614 | Osmond General Hospital Inc | Physician Assistant | 106 E Wayne St, Randolph, NE 68771-5300 | 2006-10-02 |
| 1871607085 | Authier/miller Eyecare Center, L.L.C. | Optometrist | 123 S Main St, Randolph, NE 68771-5505 | 2006-08-18 |
| Find all providers in zip 68771 | ||||
| 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 |
|---|---|---|---|---|
| 1972055861 | Yuhui Hu Dds LLC | Dentist | 140 State Route 10, Randolph, NJ 07869-1542 | 2016-10-26 |
| 1104271121 | Dr Parnass General Dentistry LLC | Dentist | 140 Route 10 W, Randolph, NJ 07869-1542 | 2016-04-27 |
| 1437519063 | Mawna Dhamotharan Kumar | Dentist | 8305, Wynbrook Drive, Randolph, NJ 07869-1297 | 2016-02-24 |
| 1588991780 | Michael Bravman | Dentist | 111 Everdale Rd, Randolph, NJ 07869-2301 | 2009-11-09 |
| 1730394354 | Young Kyu Kim | Dentist | 924 Route 10 West, Randolph, NJ 07869 | 2007-05-14 |
| 1265556062 | Mark Parnass | Dentist | 140 Route 10 West, K-mart Plaza, Randolph, NJ 07869 | 2007-03-19 |
| 1154445955 | Dr. Parnass Family Dentistry, LLC | Dentist | 140 Route10 West, K-mart Plaza, Randolph, NJ 07869 | 2007-03-19 |
| 1336278100 | Laura Castro | Dentist | 924 Route 10 W, Charmoy Dental, Randolph, NJ 07869-1932 | 2007-03-05 |
| 1104972181 | Richard Loguercio Dds PC | Dentist | 56 So Main St, Randolph, MA 02368 | 2007-01-25 |
| 1366594434 | Mengchi Steven Yang | Dentist | 393 Quaker Church Rd, Randolph, NJ 07869-1319 | 2007-01-17 |
| Find all providers in RANDOLPH | ||||
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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.