MIDWEST DENTAL OF ILLINOIS, LLC (NPI# 1396876181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396876181 |
| Entity Type | Organization |
| Organization Name | MIDWEST DENTAL OF ILLINOIS, LLC |
| Other Organization Name | MIDWEST DENTAL |
| Practice Address |
680 Hehli Way Mondovi WI 54755-1639 |
| Practice Telephone | 7159265050 |
| Mailing Telephone | 7159265050 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JIM MYER (CFO) |
| Authorized Official Telephone | 7159265050 |
| 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 |
|---|---|
| Midwest Dental | Doing Business As Name - Organization |
| Street Address |
680 HEHLI WAY |
| City | MONDOVI |
| State | WI |
| Zip Code | 54755-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073654992 | Robert Michael Miklesh | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-02-12 |
| 1912456815 | Beth Ann Hagen | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2016-10-03 |
| 1104295302 | Merit Dental of Connecticut PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2015-09-17 |
| 1417335787 | Merit Dental of Massachusetts PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2015-05-07 |
| 1619313343 | Thao Phuoc Le | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2013-05-21 |
| 1679872378 | Mountain Dental of New Mexico PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2011-03-21 |
| 1720205560 | Mohamed F Harunani | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-04-20 |
| 1992827174 | Jeffrey William Moos | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-04-06 |
| 1568582633 | David Andrew Young | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-03-30 |
| 1124159983 | Modern Dental Professionals, Mn PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952827412 | Alexandria Pinkos | Physical Therapist | 250 State Road 37, Mondovi, WI 54755 | 2017-08-16 |
| 1346634284 | Jennifer L Kronenberg | Social Worker | 1150 Nordic Cir, Mondovi, WI 54755 | 2015-03-27 |
| 1457464075 | Anthony Michael Sciascia | Dentist | 156 N Franklin St, Mondovi, WI 54755 | 2006-08-17 |
| 1619981602 | Douglas R Lochner-wright | Physical Therapist | 700 Buffalo St, Mondovi, WI 54755 | 2006-07-28 |
| 1477614527 | Gordon John Helgoe | Chiropractor | E9225 Hwy 85, Mondovi, WI 54755-0021 | 2006-12-13 |
| 1053518241 | Health Steps, L.L.C. | Chiropractor | E9225 Hwy 85, Mondovi, WI 54755-0021 | 2007-06-29 |
| 1215066212 | Durand Optometry Clinic LLC Dba Mondovi Eye and Optical | Optometrist | 129 S. Eau Claire St., Mondovi, WI 54755-0087 | 2007-03-05 |
| 1780154997 | Daniel Joseph Johnson | Contractor | 234 Columbia St, Mondovi, WI 54755-1104 | 2018-11-29 |
| 1316368301 | Nancy Polzer Hearing Aid Services | Hearing Aid Equipment | 671 N Eau Claire St, Mondovi, WI 54755-1115 | 2013-12-18 |
| 1326011818 | James D. Schmittfranz Jr. | Chiropractor | 143 N Franklin St, Mondovi, WI 54755-1117 | 2006-02-07 |
| Find all providers in zip 54755 | ||||
| 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 |
|---|---|---|---|---|
| 1548821218 | John Shook | Dentist | 132 Monroe St # B, Mondovi, WI 54755-1731 | 2019-06-24 |
| 1366736662 | Henry Comstock Youngman | Dentist | 132 Monroe St, Suite B, Mondovi, WI 54755-1731 | 2011-06-03 |
| 1073654992 | Robert Michael Miklesh | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-02-12 |
| 1063529808 | Robert Melvin Pederson | Dentist | 853 W Main St, Mondovi, WI 54755-1429 | 2006-08-25 |
| 1417335787 | Merit Dental of Massachusetts PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2015-05-07 |
| 1154769529 | Benjamin Joseph Romenesko | Dentist | 132 Monroe St, Suite B, Mondovi, WI 54755-1731 | 2013-06-07 |
| 1679872378 | Mountain Dental of New Mexico PC | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2011-03-21 |
| 1720205560 | Mohamed F Harunani | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-04-20 |
| 1992827174 | Jeffrey William Moos | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-04-06 |
| 1568582633 | David Andrew Young | Dentist | 680 Hehli Way, Mondovi, WI 54755-1639 | 2007-03-30 |
| Find all providers in MONDOVI | ||||
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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.