FIRST IMPRESSIONS SC (NPI# 1811430796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811430796 |
| Entity Type | Organization |
| Organization Name | FIRST IMPRESSIONS SC |
| Other Organization Name | FIRST IMPRESSIONS DENTAL EAST SC |
| Practice Address |
4182 W Wisconsin Ave Appleton WI 54913-8652 |
| Practice Telephone | 7158424649 |
| Mailing Telephone | 7158424649 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-30 |
| Authorized Official Name | MR. THOMAS J TURNER (PRESIDENT) |
| Authorized Official Telephone | 7158424649 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| First Impressions Dental East SC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228674 | First Impressions Sc | Clinic/Center | 780 E Timber Dr, Rhinelander, WI 54501-2004 | 2016-11-28 |
| 1205804663 | First Impressions Sc | Dentist | 413 N 17th Ave, Wausau, WI 54401-2910 | 2006-03-10 |
| Street Address |
4182 W WISCONSIN AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780851188 | Allcare Dental & Dentures of Wi PC | Dentist | 4182 W Wisconsin Ave, Appleton, WI 54913-8652 | 2008-05-14 |
| 1508384033 | Macall Schmelzer | Dental Hygienist | 4182 W Wisconsin Ave, Appleton, WI 54913-8652 | 2017-09-05 |
| 1720535289 | Jamie Baxter | Dental Hygienist | 4182 W Wisconsin Ave, Appleton, WI 54913-8652 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336237551 | Tri-county Community Dental Clinic, Inc. | Clinic/Center | 9 Tri Park Way, Appleton, WI 54914-1661 | 2006-10-11 |
| 1194241216 | North Appleton Dentistry, LLC | Clinic/Center | 3521 Commerce Ct, Appleton, WI 54911-8579 | 2017-08-21 |
| 1124540315 | Fox Run Dental, LLC | Clinic/Center | 229 E Franklin St, Appleton, WI 54911-5434 | 2017-07-10 |
| 1497115232 | Appleton Dental Care, P.a. | Clinic/Center | 32 S Behl St, Appleton, MN 56208-1616 | 2016-03-06 |
| 1356414114 | Timbercrest Dental Center, S.c. | Clinic/Center | 821 E 1st Ave, Suite 3, Appleton, WI 54911-1501 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
| 1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
| 1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
| 1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
| 1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
| 1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
| 1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
| 1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
| 1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
| 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.