DR. BRANDEN GOETSCH (NPI# 1336599935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336599935 |
| Entity Type | Individual |
| Full Name | DR. BRANDEN GOETSCH |
| Credential | DMD |
| Practice Address |
229 E Franklin St Appleton WI 54911-5434 |
| Mailing Address |
1720 Congress Ave Oshkosh WI 54901-7701 |
| Practice Telephone | 9207332371 |
| Mailing Telephone | (920) 235-3251 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1001333-15 | WI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1720 Congress Ave, Oshkosh, WI 549017701 | 9202353251 |
| Street Address |
229 E FRANKLIN ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124540315 | Fox Run Dental, LLC | Clinic/Center | 229 E Franklin St, Appleton, WI 54911-5434 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1497282321 | Logan Taylor Vanhoof | Dentist | 1033 W College Ave Ste 200, Appleton, WI 54914-5291 | 2017-05-23 |
| 1073825246 | Rachel L Arts | Dentist | 5553 W Waterford Ln, Appleton, WI 54913-8468 | 2010-07-05 |
| 1417112335 | Timothy Jay Vosters | Dentist | 2214 E Evergreen Dr, Appleton, WI 54913-9002 | 2008-07-21 |
| 1962679050 | Richard Michael Merkhofer | Dentist | 224 W Calumet St, Appleton, WI 54915-4935 | 2008-05-08 |
| 1497976872 | J Scott Polzin | Dentist | 1425 E John St, Appleton, WI 54915-3468 | 2007-05-01 |
| 1144349580 | Peter D Hehli | Dentist | 5760 Grande Market Drive, Appleton, WI 54913 | 2007-03-28 |
| 1063540870 | Edward Mark Pflum | Dentist | 342 W Wisconsin Ave, Appleton, WI 54911-4340 | 2007-03-01 |
| 1588736649 | Jeffrey Gerald Romenesko | Dentist | 2510 E Evergreen Dr, Appleton, WI 54913-8904 | 2006-11-14 |
| 1962589721 | Jeffrey Alan Bell | Dentist | 2400 South Kensington Drive, 500, Appleton, WI 54915-4187 | 2006-11-01 |
| Find all providers in APPLETON | ||||
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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.