CONKRIGHT DENTAL, LLC (NPI# 1679877542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679877542 |
| Entity Type | Organization |
| Organization Name | CONKRIGHT DENTAL, LLC |
| Practice Address |
823 Belknap St Suite 220 Superior WI 54880-2960 |
| Practice Telephone | 7159324545 |
| Practice Fax Number | 7153924547 |
| Mailing Telephone | 7159324545 |
| Mailing Fax Number | 7153924547 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | JOHN E. CONKRIGHT (OWNER) |
| Authorized Official Telephone | 7153924545 |
| 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 |
2384 | WI | Dental Providers |
| Street Address |
823 BELKNAP ST SUITE 220 |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-2960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692523 | Chad M Peterson | Physical Therapist | 823 Belknap St, Ste 104, Superior, WI 54880-2974 | 2005-07-07 |
| 1790394740 | Omran Zarou | Dentist | 823 Belknap St, Superior, WI 54880-2960 | 2020-07-27 |
| 1316372691 | Amanda Grayce Schwartz | Dentist | 823 Belknap St, Ste. 220, Superior, WI 54880-2960 | 2013-09-05 |
| 1457598963 | Heidi Rachelle Ramsdell | Physical Therapist | 823 Belknap St, Superior, WI 54880-2960 | 2009-01-21 |
| 1952588659 | Jane E Worley | Physical Therapist | 823 Belknap St, Suite 104, Superior, WI 54880-2960 | 2008-01-24 |
| 1730308008 | Lindi Marie Flemmen | Physical Therapist | 823 Belknap St, Suite 104, Superior, WI 54880-2960 | 2007-04-25 |
| 1134274376 | John E Conkright | Dentist | 823 Belknap St, Suite 220, Superior, WI 54880 | 2007-01-25 |
| 1558462432 | Center for Muscle & Joint Therapy Inc | Physical Therapist | 823 Belknap St, Suite 104, Superior, WI 54880-2960 | 2006-09-26 |
| 1639115686 | James Gerard Rauzi | Physical Therapist | 823 Belknap St, Suite 104, Superior, WI 54880-2960 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| 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 |
|---|---|---|---|---|
| 1396399069 | My Local Colorado Dental Practice, LLC | Dentist | 1691 Coalton Rd, Superior, CO 80027-4681 | 2019-07-30 |
| 1750529293 | Marketplace Dental Group and Orthodontics, LLP | Dentist | 306 Center Drive, Superior, CO 80027 | 2009-01-21 |
| 1073777652 | Ronald D Thompson | Dentist | 235 E 4th St, Superior, NE 68978-1817 | 2008-07-14 |
| 1851436356 | Brian L Kraft | Dentist | 1613 Coalton Rd, Superior, CO 80027-4610 | 2007-02-21 |
| 1528113685 | Robert A. Bukowski | Dentist | 1301 Tower Ave, Superior, WI 54880-1504 | 2007-01-25 |
| 1003982406 | Jon Gregorie Nelson | Dentist | 418 23rd Ave E, Superior, WI 54880-3707 | 2006-11-28 |
| 1871679035 | Neal B O'shaughnessy Dds Ltd | Dentist | 1507 Tower Avenue, Suite 410, Superior, WI 54880-2532 | 2006-10-31 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| 1568563765 | Howard Lee Miller | Dentist | 136 E 4th St, Superior, NE 68978-1730 | 2006-09-26 |
| 1437179439 | Michael L Bailey | Dentist | 1697 E Coalton Rd, Suite B, Superior, CO 80027-4646 | 2006-07-20 |
| Find all providers in SUPERIOR | ||||
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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.