ACACIA LANE DENTAL, S.C. (NPI# 1609987288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609987288 |
| Entity Type | Organization |
| Organization Name | ACACIA LANE DENTAL, S.C. |
| Practice Address |
664 Acacia Ln Rhinelander WI 54501-2873 |
| Mailing Address |
Po Box 1165 664 Acacia Lane Rhinelander WI 54501-1165 |
| Practice Telephone | 7153658664 |
| Practice Fax Number | 7153658668 |
| Mailing Telephone | 7153658664 |
| Mailing Fax Number | 7153658668 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GREGORY DANA EDWARDS (PRESIDENT) |
| Authorized Official Telephone | 7153658664 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WI | Dental Providers |
| Street Address |
664 ACACIA LN |
| City | RHINELANDER |
| State | WI |
| Zip Code | 54501-2873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053950956 | Acacia Lane Dental - Rhinelander | Dentist | 664 Acacia Ln, Rhinelander, WI 54501-2873 | 2019-12-26 |
| 1174094924 | New Horizon Sleep Solutions | Dentist | 664 Acacia Ln, Rhinelander, WI 54501-2873 | 2018-12-05 |
| 1669549077 | James Paul Bloch | Dentist | 664 Acacia Ln, Rhinelander, WI 54501-2873 | 2006-11-29 |
| 1215048889 | Gregory Dana Edwards | Dentist | 664 Acacia Ln, Rhinelander, WI 54501-2873 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513361 | Nathan Wigington | Dentist | 803 Lincoln Street, Rhinelander, WI 54501 | 2018-06-29 |
| 1659865582 | Wendy Jahsmann | Physical Therapy Assistant | 1970 Navajo Street, Rhinelander, WI 54501 | 2018-06-14 |
| 1699262055 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 2260 North Shore Drive, Rhinelander, WI 54501 | 2018-04-20 |
| 1467967489 | Harmony Counseling Services Dba Transitions Center | Counselor | 22 N Pelham Str., Rhinelander, WI 54501 | 2017-12-13 |
| 1316392046 | Horace Donn De Yampert | Physical Therapist | 528 Shepard Street, Rhinelander, WI 54501 | 2016-05-02 |
| 1588019582 | Oksana Smith | Physical Therapy Assistant | 1318 Eagle St, Rhinelander, WI 54501 | 2016-04-27 |
| 1639535115 | Rita Jean Semmerling | Counselor | 22 N. Pelham St., Rhinelander, WI 54501 | 2016-01-13 |
| 1891151809 | Jolie Dirrigle | Social Worker | 1020 Kabel Avenue, Rhinelander, WI 54501 | 2016-01-06 |
| 1861758260 | The Country Seed Inc. | Specialist | 210 E. Anderson Street, Rhinelander, WI 54501 | 2012-04-10 |
| 1952605446 | Adam Carlson | Physical Therapist | 7543 Woodboro Heights Rd, Rhinelander, WI 54501 | 2010-12-27 |
| Find all providers in zip 54501 | ||||
| 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 |
|---|---|---|---|---|
| 1124513361 | Nathan Wigington | Dentist | 803 Lincoln Street, Rhinelander, WI 54501 | 2018-06-29 |
| 1083903553 | Mary C Padgett | Dentist | 922 Margaret St, Rhinelander, WI 54501-3923 | 2011-04-05 |
| 1053497289 | Northwoods Family Dental Sc | Dentist | 922 Margaret Street, Rhinelander, WI 54501-3835 | 2006-10-31 |
| 1528078128 | Frederick Louis Young | Dentist | 128 N Stevens Street, Rhinelander, WI 54501 | 2006-08-08 |
| 1053950956 | Acacia Lane Dental - Rhinelander | Dentist | 664 Acacia Ln, Rhinelander, WI 54501-2873 | 2019-12-26 |
| 1184285033 | Kricket Lynn Koehn | Dentist | 922 Margaret St, Rhinelander, WI 54501-3923 | 2019-06-21 |
| 1265090575 | Celeste Nacale Gish | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2019-06-01 |
| 1013398775 | Nathan James Fiebke | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2015-06-17 |
| 1265831846 | Rhinelander Dental | Dentist | 803 Lincoln St, Rhinelander, WI 54501-3543 | 2014-08-19 |
| 1083020739 | Kirandeep Kaur | Dentist | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2014-07-02 |
| Find all providers in RHINELANDER | ||||
| City | RHINELANDER |
| Zip Code | 54501 |
Please comment or provide details below to improve the information on ACACIA LANE DENTAL, S.C..
| 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.