JENNIFER M STAFFORD (NPI# 1811151574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811151574 |
| Entity Type | Individual |
| Full Name | JENNIFER M STAFFORD |
| Credential | DDS |
| Practice Address |
201 Sherman Ave West Fort Atkinson WI 53538 |
| Practice Telephone | 9205637323 |
| Practice Fax Number | 9205637612 |
| Mailing Telephone | 9205637323 |
| Mailing Fax Number | 9205637612 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6256 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568733657 | Jennifer Wade Stafford | Counselor | 202639 E County Road 42, Woodward, OK 73801-5442 | 2012-01-20 |
| 1114308921 | Jennifer Stafford | Registered Nurse | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-06-17 |
| 1649526807 | Jennifer E Stafford | Optometrist | 741 E Van Asche Dr, Fayetteville, AR 72703 | 2012-07-25 |
| 1437418365 | Jennifer L. Stafford | Counselor | 138 W 25th St, 6th Floor, #17, New York, NY 10001-7405 | 2012-05-12 |
| 1417154089 | Jennifer Marie Stafford | Physical Therapist | 5 Harris Ct, Building T Suite 102, Monterey, CA 93940-5750 | 2007-06-28 |
| 1801016423 | Jennifer Andreu Stafford | Speech-Language Pathologist | 877 3rd St, Ste. 1, Chipley, FL 32428-1827 | 2007-04-26 |
| Street Address |
201 SHERMAN AVE WEST |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326154584 | Jeffrey A Kind | Dentist | 201 Sherman Ave West, Fort Atkinson, WI 53538 | 2006-08-21 |
| 1902912165 | Drs Gobel Bender & Kind Sc | Dentist | 201 Sherman Ave West, Fort Atkinson, WI 53538 | 2006-08-21 |
| 1932215191 | Thomas A Gobel | Dentist | 201 Sherman Ave West, Fort Atkinson, WI 53538 | 2006-08-21 |
| 1588770747 | Michael A Bender | Dentist | 201 Sherman Ave West, Fort Atkinson, WI 53538 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| 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 |
|---|---|---|---|---|
| 1457472797 | Eby Family Dental | Dentist | 715 Sherman Ave East, Fort Atkinson, WI 53538 | 2007-04-03 |
| 1558491431 | Leslie Leigh Showalter | Dentist | 1951 Commerce Pkwy, Fort Atkinson, WI 53538-3139 | 2007-03-07 |
| 1437219359 | J Peter Nysather | Dentist | 211 Memorial Dr, Fort Atkinson, WI 53538-1981 | 2006-12-11 |
| 1326154584 | Jeffrey A Kind | Dentist | 201 Sherman Ave West, Fort Atkinson, WI 53538 | 2006-08-21 |
| 1114031226 | David Luisier | Dentist | 715 Sherman Ave E, Fort Atkinson, WI 53538-1992 | 2006-08-18 |
| 1164415568 | Alvin J. Kempema | Dentist | 14 S 3rd St E, Fort Atkinson, WI 53538-2235 | 2005-08-31 |
| 1891178877 | Joseph A Guros | Dentist | 501 Mcmillen St, Fort Atkinson, WI 53538-1202 | 2015-07-08 |
| 1073810115 | Sara Podoll | Dentist | 715 Sherman Ave E, Fort Atkinson, WI 53538-1992 | 2011-02-25 |
| 1265744940 | Eric J Ruiz | Dentist | 1951 Commerce Pkwy, Fort Atkinson, WI 53538-3139 | 2010-07-09 |
| 1508187758 | Showalter, Inc | Dentist | 1951 Commerce Pkwy, Fort Atkinson, WI 53538-3139 | 2010-06-22 |
| Find all providers in FORT ATKINSON | ||||
| City | FORT ATKINSON |
| Zip Code | 53538 |
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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.