RIVER TOWN DENTAL INC (NPI# 1699016618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699016618 |
| Entity Type | Organization |
| Organization Name | RIVER TOWN DENTAL INC |
| Practice Address |
601 Mchugh Rd Holmen WI 54636-9579 |
| Practice Telephone | 6085269300 |
| Mailing Telephone | 6085269300 |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |
| Authorized Official Name | RANDALL MOSENG (OWNER) |
| Authorized Official Telephone | 6085269300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
5215 | WI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
6223 | WI | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5048 | WI | Dental Providers |
| Street Address |
601 MCHUGH RD |
| City | HOLMEN |
| State | WI |
| Zip Code | 54636-9579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346381167 | Julie Ann Moseng | Dentist | 601 Mchugh Rd, Holmen, WI 54636 | 2007-02-12 |
| 1669030805 | Robert Joseph Saphner | Dentist | 601 Mchugh Rd, Holmen, WI 54636-9579 | 2019-06-03 |
| 1184006181 | Amanda Lee Eckhardt Hyland | Dentist | 601 Mchugh Rd, Holmen, WI 54636-9579 | 2015-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710652 | Shaffaq Zaveri | Registered Nurse | N7259 Meyer Ct, Holmen, WI 54636 | 2020-11-02 |
| 1861731267 | Torrell Rhoades | Hearing Instrument Specialist | 1101 Marlin St., Holmen, WI 54636 | 2013-02-05 |
| 1306199070 | Karol Ivera Smith | Registered Nurse | 811 Saddlewood St, Holmen, WI 54636 | 2012-10-18 |
| 1487950572 | Danielle Marie Nesvik | Physical Therapist | 106 S Holmen Dr Suite 2, Holmen, WI 54636 | 2011-02-07 |
| 1932320603 | Shari Lynn Berry | Physical Therapist | 106 South Holmen Drive, Suite 2, Holmen, WI 54636 | 2007-05-01 |
| 1548393911 | Family & Children's Center, Inc | Clinic/Center | 1100 Linden Dr, Holmen, WI 54636 | 2007-03-14 |
| 1093877169 | Mary J Ewers | Occupational Therapist | 106 South Holmen Dr, Suite 2, Achieve Solutions, Inc., Holmen, WI 54636 | 2006-12-15 |
| 1851381354 | Jennifer J Nordstrom | Family Medicine | 1303 S Main St, Holmen, WI 54636 | 2005-10-26 |
| 1144882002 | Parneet Gill | Dentist | 106 S Holmen Dr, Holmen, WI 54636 | 2019-07-01 |
| 1225295736 | Kaitlin S. Earley | Nurse Practitioner | 1303 S Main St, Holmen, WI 54636 | 2008-05-21 |
| Find all providers in zip 54636 | ||||
| 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 |
|---|---|---|---|---|
| 1144882002 | Parneet Gill | Dentist | 106 S Holmen Dr, Holmen, WI 54636 | 2019-07-01 |
| 1003287228 | Robin Rott | Dentist | 106 S Holmen Dr, Holmen, WI 54636-9467 | 2015-10-14 |
| 1396005237 | Michael Joel Brown | Dentist | 106 S Holmen Dr, Holmen, WI 54636-9467 | 2012-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
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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.