DENTAL HAUS OF MONROE LLC (NPI# 1548804560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548804560 |
| Entity Type | Organization |
| Organization Name | DENTAL HAUS OF MONROE LLC |
| Practice Address |
1602 11th St Monroe WI 53566-2002 |
| Practice Telephone | 6083255464 |
| Mailing Telephone | 6083255464 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | DR. LAURA HIBBARD (DENTIST/PARTNER) |
| Authorized Official Telephone | 6083255464 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Dental Haus of Monroe LLC | Former Legal Business Name - Organization |
| Street Address |
1602 11TH ST |
| City | MONROE |
| State | WI |
| Zip Code | 53566-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871716167 | Jon Randall Armstrong | Dentist | 1602 11th St, Monroe, WI 53566-2002 | 2007-04-11 |
| 1548759574 | Laura Hibbard | Dentist | 1602 11th St, Monroe, WI 53566 | 2018-05-04 |
| 1770751315 | Armstrong Family Dental,llc | Clinic/Center | 1602 11th St, Monroe, WI 53566-2002 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023228830 | W Randall Cline Dds Pa | Clinic/Center | 2208 Commerce Dr, Monroe, NC 28110-6725 | 2007-05-23 |
| 1194340828 | Monroe Family Dentistry | Clinic/Center | 181 Main St, Monroe, CT 06468-1110 | 2020-06-09 |
| 1255976148 | Adam R Brown Dds, Pllc | Clinic/Center | 704 S Sutherland Ave, Monroe, NC 28112-5065 | 2019-11-14 |
| 1114582467 | Yunki Cho, Dds, Pllc | Clinic/Center | 1221 W Main St, Monroe, WA 98272-2028 | 2019-05-02 |
| 1669945861 | Jan T Bagwell Dds | Clinic/Center | 189 Keystone Rd, Monroe, LA 71203-8936 | 2019-01-10 |
| 1669943627 | Nelson Dental Ltd | Clinic/Center | 1413 S 2nd St, Monroe, LA 71202-2739 | 2018-12-16 |
| 1831697978 | Nelson Dental LLC | Clinic/Center | 1413 S 2nd St, Monroe, LA 71202-2739 | 2018-01-23 |
| 1245783471 | Joseph Szabo Dds Pllc | Clinic/Center | 809 W Main St Ste A, Monroe, WA 98272-2172 | 2016-07-23 |
| 1982079570 | Monroe Family Dentistry LLC | Clinic/Center | 181 Main St, Monroe, CT 06468-1110 | 2015-12-08 |
| 1790110005 | Jay Orthodontics, P.C. | Clinic/Center | 314 N Monroe St, 314 N Monroe Street, Monroe, MI 48162-2622 | 2013-09-05 |
| Find all providers in MONROE | ||||
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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.