CHILDREN'S DENTAL CENTER OF MADISON, S.C. (NPI# 1417169160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417169160 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTAL CENTER OF MADISON, S.C. |
| Practice Address |
7001 Old Sauk Road #200 Madison WI 53717 |
| Practice Telephone | 6088336545 |
| Practice Fax Number | 6088338516 |
| Mailing Telephone | 6088336545 |
| Mailing Fax Number | 6088338516 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | DR. TIMOTHY R KINZEL (VICE-PRESIDENT) |
| Authorized Official Telephone | 6088336545 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
WI3347 | WI | Dental Providers |
| Street Address |
7001 OLD SAUK ROAD #200 |
| City | MADISON |
| State | WI |
| Zip Code | 53717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| Find all providers in zip 53717 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| 1023259546 | Northern Dental Specialists, Dr. Steven W Gajda | Dentist | 2040 Hubbard Road, Madison, OH 44057 | 2009-03-12 |
| 1982759791 | Pediatric Dentistry Associates, LLC | Dentist | 149 Durham Rd Ste 33, Madison, CT 06443-2680 | 2007-01-24 |
| 1790849404 | Nathan Keil Beavers | Dentist | 119 Colony Crossing Way, Suite 740, Madison, MS 39110-6322 | 2006-12-20 |
| 1164533345 | Douglas W Wilson | Dentist | 100 River Place, Suite 110, Madison, WI 53716 | 2006-08-31 |
| 1972614154 | Anthony R Hernandez | Dentist | 5116 American Family Dr, Madison, WI 53718-8331 | 2006-08-31 |
| 1720197403 | David Paul Lubbe | Dentist | 1739 Michigan Rd, Madison, IN 47250-2721 | 2006-08-29 |
| 1518928910 | Kurt Robert Swauger | Dentist | 500 Lentz Dr, Ste 40, Madison, TN 37115-5135 | 2006-03-28 |
| 1407838725 | Amy Elizabeth Kramer | Dentist | 7001 Old Sauk Rd, Madison, WI 53717-2308 | 2005-11-14 |
| 1609234285 | Britney Bries | Dentist | 7001 Old Sauk Rd Ste 200, Madison, WI 53717 | 2016-02-10 |
| Find all providers in MADISON | ||||
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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.