DENTAL IMPLANT CENTER (NPI# 1588972590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588972590 |
| Entity Type | Organization |
| Organization Name | DENTAL IMPLANT CENTER |
| Practice Address |
1202 County Road Ph Suite 300 Onalaska WI 54650-8439 |
| Practice Telephone | 6087837330 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | GENIE KUBLE (CONTACT OFFICER) |
| Authorized Official Telephone | 9204500157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DENTAL IMPLANT CENTER | 3925 Sw 153rd Dr Ste 100, Beaverton, OR 97006 |
| Colorado Business Entities | Dental Implant Center of Southern Colorado LLC | 3208 N Academy Blvd #110, Colorado Springs, CO 80917 |
| Street Address |
1202 COUNTY ROAD PH SUITE 300 |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650-8439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578507331 | Leo J Bronston Dc | Chiropractor | 1202 County Road Ph, Suite 100, Onalaska, WI 54650-8439 | 2006-06-15 |
| 1225573785 | Leo J Bronston | Clinic/Center | 1202 County Road Ph, Suite 100, Onalaska, WI 54650-8439 | 2016-12-19 |
| 1427455484 | Kari Lynn Peteler | Chiropractor | 1202 County Road Ph, Onalaska, WI 54650-8439 | 2014-11-19 |
| 1396041091 | Chiromed, LLC | Clinic/Center | 1202 County Road Ph, Suite 400, Onalaska, WI 54650-8439 | 2011-01-28 |
| 1679649719 | Melissa J Copps | Dentist | 1202 County Road Ph, Suite 300, Onalaska, WI 54650 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| 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 |
|---|---|---|---|---|
| 1427432673 | Feist Siegert LLC | Dentist | 831 Critter Ct Ste 200, Onalaska, WI 54650-8672 | 2015-07-17 |
| 1417345307 | Denturesmart Denture Service LLC | Dentist | 605 2nd Ave S, Ste 130, Onalaska, WI 54650-3388 | 2014-12-31 |
| 1245504166 | Coulee Techlink, Inc | Dentist | 1129 Riders Club Rd, Onalaska, WI 54650-2079 | 2012-02-24 |
| 1548550403 | Anelin Feilen | Dentist | 3132 Market Pl, Suite 300, Onalaska, WI 54650-6705 | 2011-04-12 |
| 1629078035 | Charles Royal Kessler | Dentist | 1831 E Main St, Onalaska, WI 54650-8757 | 2005-07-28 |
| 1891357133 | Cowgill Dental Onalaska LLC | Dentist | 2831 National Dr, Onalaska, WI 54650-6703 | 2019-07-08 |
| 1376064402 | Shaina Blair Rennegarbe | Dentist | 1637 Main St, Onalaska, WI 54650-2853 | 2017-06-28 |
| 1407383037 | Kevin John Holly | Dentist | 1637 Main St, Onalaska, WI 54650-2853 | 2017-05-13 |
| 1649649310 | Apollonia Dental LLC | Dentist | 3132 Market Pl, Onalaska, WI 54650-6705 | 2015-09-23 |
| 1902056872 | David L Kujak | Dentist | 1845 E Main St, Onalaska, WI 54650-8668 | 2008-09-26 |
| Find all providers in ONALASKA | ||||
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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.