SHORELINE PERIODONTICS LIMITED


Address: 2808 Kohler Memorial Dr, Suite 2, Sheboygan, WI 53081-3177
Phone: 9204528802

SHORELINE PERIODONTICS LIMITED (NPI# 1376789933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376789933
Entity Type Organization
Organization Name SHORELINE PERIODONTICS LIMITED
Practice Address 2808 Kohler Memorial Dr
Suite 2
Sheboygan
WI 53081-3177
Practice Telephone 9204528802
Practice Fax Number 9204522852
Mailing Telephone 9204528802
Mailing Fax Number 9204522852
Enumeration Date 2008-12-31
Last Update Date 2008-12-31
Authorized Official Name DR. HENRY WILLIAM HOGE (OWNER)
Authorized Official Telephone 9204528802
Authorized Official Credential DDS MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
Dental Providers

Office Location

Street Address 2808 KOHLER MEMORIAL DR
SUITE 2
City SHEBOYGAN
State WI
Zip Code 53081-3177

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083008684 Laura Kocmoud Social Worker 2808 Kohler Memorial Dr, Sheboygan, WI 53081-3177 2015-03-23
1811385156 Barbara J H Anderson Lmft Counseling Services LLC Marriage & Family Therapist 2808 Kohler Memorial Dr, Suite 8, Sheboygan, WI 53081-3177 2015-01-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770053696 Kathy Hughes Counseling, LLC Community/Behavioral Health 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 2018-12-04
1780159004 Great Lakes Clinic and Consultants, LLC Clinic/Center 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 2018-10-13
1174032106 Laura Elizabeth Manning Registered Nurse 325 Linocln Ave, Sheboygan, WI 53081 2017-09-21
1043733686 Chasidy D Wilke Behavioral Analyst 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 2017-07-25
1700320074 Darlene Wilken Counselor 2842 S. Business Dr, Sheboygan, WI 53081 2016-12-06
1942652185 Jacob Steven Son Dentist 3555 Wasington Ave., Sheboygan, WI 53081 2016-07-12
1225491749 Cassandra Lea Loehndorf Social Worker 3321 S. 12th St., Sheboygan, WI 53081 2016-04-01
1003201112 Jason Meinhardt Dentist 2115 S Memorial Pl, Sheboygan, WI 53081 2015-04-06
1346634110 Christopher Lenz Specialist/Technologist 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 2015-03-19
1780008060 James Simac Counselor 503 Wisconsin Ave., Sheboygan, WI 53081 2014-02-07
Find all providers in zip 53081

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457496580 Henry William Hoge Dentist 2808 Kohler Memorial Drive, Suite 2, Sheboygan, WI 53081-3177 2007-02-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235683830 Phillip Crum Dentist 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 2016-08-11
1285937557 Craig William Byers Dentist 2457 North Mayfair Road, Suite 102, Wauwatosa, WI 53226-1405 2010-12-08
1558662387 Jason William Cooke Dentist 2557b E Calumet St, Appleton, WI 54915-4748 2010-11-10
1780998997 Thomas C. Kelley Dds Msd LLC Dentist 17280 W North Ave Ste 203, Brookfield, WI 53045-4366 2010-07-29
1003052895 James P. Herman Dentist 5624 S Bonnie Ln, Hales Corners, WI 53130-1674 2008-12-28
1760684930 Jeffrey Joseph Burke Dentist 2323 S 109th St Ste 275, West Allis, WI 53227-1912 2007-06-01
1992915276 Scott George Metskas Dentist 3364 Iris Ln, Stevens Point, WI 54481-5618 2007-05-23
1134339500 Fox River Periodontics Sc Dentist 2557b East Calumet St, Appleton, WI 54915 2007-05-23
1891903043 Denise Y Shih Dentist 2853 N Marietta Ave, Milwaukee, WI 53211-3420 2007-05-20
1629280987 Nancy Ellen Shumate Dentist 2600 N Mayfair Rd Ste 340, Wauwatosa, WI 53226-1372 2007-05-07
Find all providers with the same taxonomy

Competitor

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City SHEBOYGAN
Zip Code 53081

Improve Information

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Dataset Information

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.

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