GILLETT DENTAL CARE, S.C. (NPI# 1356554851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356554851 |
| Entity Type | Organization |
| Organization Name | GILLETT DENTAL CARE, S.C. |
| Practice Address |
137 E Main St Gillett WI 54124-9386 |
| Mailing Address |
137 E Main St P.o. Box 266 Gillett WI 54124-9386 |
| Practice Telephone | 9208556091 |
| Mailing Telephone | 9208556091 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | DR. EVELYN KATRINA HAUSER-FREDERICK (PRESIDENT) |
| Authorized Official Telephone | 9208552155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5002024-015 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE DENTAL LICENSE | 5002024-015 | 01 |
| WI | 33374500 | 05 |
| Street Address |
137 E MAIN ST |
| City | GILLETT |
| State | WI |
| Zip Code | 54124-9386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639583610 | Evelyn Katrina Hauser-frederick | Dentist | 137 E Main St, Gillett, WI 54124-9386 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699956607 | Cooperative Educational Service Agency No 8 | Counselor | 223 W Park Street, Gillett, WI 54124 | 2007-11-19 |
| 1972556819 | Gillett Area Ambulance Service Inc. | Ambulance | 100 W Main St, Gillett, WI 54124-9002 | 2006-05-19 |
| 1710225693 | St Clare Memorial Hospital Inc | Pharmacy | 117 N Mckenzie St, Gillett, WI 54124-9142 | 2013-01-28 |
| 1689670549 | Woodlands of Gillett, Inc. | Skilled Nursing Facility | 330 Robin Hood Ln, Gillett, WI 54124-9201 | 2005-06-24 |
| 1366710063 | Jennifer Marie Clements | Physical Therapy Assistant | 330 Robin Hood Ln, Gillett, WI 54124-9201 | 2011-12-08 |
| 1477540888 | Michele Ann Laduron | Nurse Practitioner | 340 N Green Bay Ave, Suite 1, Gillett, WI 54124-9325 | 2005-09-30 |
| 1972166981 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2019-04-16 |
| 1700107844 | St Clare Memorial Hospital, Inc | Physical Therapist | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2010-06-11 |
| 1407186141 | Community Memorial Hospital | Non-Pharmacy Dispensing Site | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2009-12-31 |
| 1962622522 | The Caring Doctor, LLC | Family Medicine | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2007-04-26 |
| Find all providers in zip 54124 | ||||
| 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 |
|---|---|---|---|---|
| 1639583610 | Evelyn Katrina Hauser-frederick | Dentist | 137 E Main St, Gillett, WI 54124-9386 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GILLETT DENTAL CARE, S.C..
| 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.