MR. DALE P FALK (NPI# 1891785416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891785416 |
| Entity Type | Individual |
| Full Name | MR. DALE P FALK |
| Credential | DDS |
| Practice Address |
W575 Highway 18 Sullivan WI 53178-9520 |
| Practice Telephone | 2625932820 |
| Mailing Telephone | 2625932820 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2284 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33394000 | 05 |
| Street Address |
W575 HIGHWAY 18 |
| City | SULLIVAN |
| State | WI |
| Zip Code | 53178-9520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740356740 | Anne Mcinnis | Social Worker | 721 American Ave, Suite 501, Waukesha, WI 53178 | 2006-11-28 |
| 1174090260 | Brittany Jean Barker | Dietitian, Registered | 759 Palmyra St, Sullivan, WI 53178-9608 | 2018-10-27 |
| 1003261215 | Kristen Borski | Registered Nurse | N3791 Liberty St, Sullivan, WI 53178-9619 | 2016-04-26 |
| 1023670445 | Rabecca Catherine Cole | Social Worker | N3943 Liberty St, Sullivan, WI 53178-9624 | 2019-07-05 |
| 1639450166 | Colleen Ann Murray | Health Educator | 510 Partridge Ct, Sullivan, WI 53178-9675 | 2011-08-29 |
| 1518069467 | Beverly A Stiemke | Registered Nurse | W1136 Sunnyside Dr, Sullivan, WI 53178-9737 | 2006-09-01 |
| 1194831396 | Sullivan Ems Ltd | Ambulance | 802 Pleasant St, Sullivan, WI 53178-9764 | 2006-08-21 |
| 1417308578 | Jennifer Mary Petersen | Licensed Practical Nurse | 417 Grove St, Sullivan, WI 53178-9770 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423583 | Sheila Diane Lawson | In Home Supportive Care | 58 Township Road 581, Sullivan, OH 44880-9711 | 2020-09-28 |
| 1295344463 | Jason Allen Bishop | Nurse Practitioner | 373 County Road 40, Sullivan, OH 44880-9725 | 2020-07-23 |
| 1922629559 | Tiffany Nuno | Physician Assistant | 621 Tipton St, Sullivan, MO 63080-2152 | 2020-05-06 |
| 1548896392 | Megan Rebecca Hood | Massage Therapist | 607 Missouri Ave, Sullivan, MO 63080-1537 | 2020-03-12 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1023670445 | Rabecca Catherine Cole | Social Worker | N3943 Liberty St, Sullivan, WI 53178-9624 | 2019-07-05 |
| 1184285561 | Christopher James John Havlik | Dentist | 6 Hawthorne Ln, Sullivan, IL 61951-9489 | 2019-06-26 |
| 1407313406 | Courtney Rae Heine | Dietitian, Registered | 884 Acid Mine Rd, Sullivan, MO 63080-2695 | 2019-02-26 |
| 1174090260 | Brittany Jean Barker | Dietitian, Registered | 759 Palmyra St, Sullivan, WI 53178-9608 | 2018-10-27 |
| 1912493800 | Alisa Garner | Behavior Technician | 122 W Springfield Rd, Sullivan, MO 63080-1524 | 2018-07-03 |
| Find all providers in SULLIVAN | ||||
| 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 |
|---|---|---|---|---|
| 1184285561 | Christopher James John Havlik | Dentist | 6 Hawthorne Ln, Sullivan, IL 61951-9489 | 2019-06-26 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1013180389 | James Ray Cuneio | Dentist | 20 Hughes Ford Rd, Sullivan, MO 63080-1926 | 2008-04-08 |
| 1588706931 | John Hamblin | Dentist | 413 Walmart Dr, Sullivan, MO 63080-3327 | 2007-02-13 |
| 1841331188 | John Michael Steele | Dentist | 102 S Section St, Sullivan, IN 47882-1805 | 2007-02-09 |
| 1235241001 | William Douglas Havlik | Dentist | 2 West Adams, Sullivan, IL 61951-1943 | 2006-08-31 |
| 1659382778 | Craig Harris | Dentist | 10 Community Plz, Sullivan, MO 63080-1567 | 2006-08-11 |
| 1285275552 | Ijeoma Grace Elobuike | Dentist | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-10-08 |
| 1407142698 | Christopher A. Parks, Dds, P.C. | Dentist | 400 Cumberland Way, Suite A, Sullivan, MO 63080-3321 | 2011-06-25 |
| Find all providers in SULLIVAN | ||||
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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.