DR. GLENN ALAN WERGIN (NPI# 1821149758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821149758 |
| Entity Type | Individual |
| Full Name | DR. GLENN ALAN WERGIN |
| Credential | DMD |
| Practice Address |
100 N Main St Walworth WI 53184 |
| Mailing Address |
100 N Main St P O Box 923 Walworth WI 53184 |
| Practice Telephone | 2622756992 |
| Practice Fax Number | 2622756992 |
| Mailing Telephone | 2622756992 |
| Mailing Fax Number | 2622756992 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1397G | WI | Dental Providers |
| Street Address |
100 N MAIN ST |
| City | WALWORTH |
| State | WI |
| Zip Code | 53184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558835637 | Susan Jane Diderich | Registered Nurse | 211 Bonito St, Walworth, WI 53184 | 2019-01-11 |
| 1104007764 | Big Foot Union High School | Local Education Agency (LEA) | 401 Devils Ln, 99, Walworth, WI 53184 | 2007-11-23 |
| 1891802344 | Janis A Lowell | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-23 |
| 1346357860 | Dale Gary Jacobson | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-23 |
| 1730198870 | Deana L Courier | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-07 |
| 1821236506 | Jennifer L Van Vleet | Registered Nurse | N2348 County Road F, Walworth, WI 53184-5662 | 2009-02-03 |
| 1972124980 | Lake Geneva Psychology, Inc. | Psychologist | 630 Kenosha St, Walworth, WI 53184-9505 | 2020-04-30 |
| 1619117488 | Victoria Ann Knull | Registered Nurse | 126 Howard St, Walworth, WI 53184-9509 | 2009-03-05 |
| 1881703676 | Mccullough Pharmacy Inc | Pharmacy | 547 Kenosha St, Walworth, WI 53184-9512 | 2006-08-29 |
| 1962436188 | Aurora Pharmacy Inc | Pharmacy | 525 Kenosha St, Suite C, Walworth, WI 53184-9512 | 2006-07-11 |
| Find all providers in zip 53184 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| 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.