GLACIER DENTAL (NPI# 1649498528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649498528 |
| Entity Type | Organization |
| Organization Name | GLACIER DENTAL |
| Practice Address |
1840 Evans St Oshkosh WI 54901-2362 |
| Mailing Address |
1840 Evans Street Oshkosh WI 54902-2362 |
| Practice Telephone | 9202353251 |
| Practice Fax Number | 9202353567 |
| Mailing Telephone | 9202353251 |
| Mailing Fax Number | 9202353567 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WYN STECKBAUER (DENTIST) |
| Authorized Official Telephone | 9202353251 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5396 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | INDIVIDUAL NPI | 1841391109 | 01 |
| Street Address |
1840 EVANS ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-2362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439292 | Gaining Insight Counseling Services LLC | Clinic/Center | 1840 Evans St, Oshkosh, WI 54901-2362 | 2018-06-05 |
| 1538661632 | Jennifer Kaye Wittenburg | Counselor | 1840 Evans St, Oshkosh, WI 54901 | 2018-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| 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 |
|---|---|---|---|---|
| 1952868325 | Quirt Family Dentistry | Dentist | 1460 W South Park Ave, Oshkosh, WI 54902-6677 | 2019-02-21 |
| 1679986905 | Joseph Edward Olsen | Dentist | 290 Ohio St, Oshkosh, WI 54902-5825 | 2014-06-04 |
| 1871763920 | Wihlm Dental, LLC | Dentist | 2530 W 9th Ave, Oshkosh, WI 54904-8125 | 2008-03-05 |
| 1689882789 | Gary Dubester | Dentist | 404 N Main St Ste 312, Oshkosh, WI 54901-4903 | 2007-05-20 |
| 1659591220 | Richard W Olsen | Dentist | 404 S Koeller St, Oshkosh, WI 54902-5547 | 2007-04-26 |
| 1821118977 | James Edward Hamman | Dentist | 1486 W South Park Ave, Oshkosh, WI 54902-6677 | 2007-03-30 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1295853505 | David R Harry | Dentist | 226 Ohio St, Oshkosh, WI 54902-5825 | 2007-03-26 |
| 1962531327 | Allen Bee Deaton | Dentist | 155 N Sawyer St, Oshkosh, WI 54902-5674 | 2007-03-03 |
| 1255460614 | Sara Megan Trent | Dentist | 1050 S Koeller St, Oshkosh, WI 54902-6172 | 2007-03-03 |
| Find all providers in OSHKOSH | ||||
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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.