DR. JOHN NOLAN TESSENDORF (NPI# 1891992483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891992483 |
| Entity Type | Individual |
| Full Name | DR. JOHN NOLAN TESSENDORF |
| Credential | DDS |
| Practice Address |
215 5th Ave Eau Claire WI 54703-5698 |
| Practice Telephone | 7158323100 |
| Practice Fax Number | 7158323170 |
| Mailing Telephone | 7158323100 |
| Mailing Fax Number | 7158323170 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2015-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2245 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | TAX ID # | 392011392 | 01 |
| Street Address |
215 5TH AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-5698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992064661 | Thomas J Tessendorf | Dentist | 215 5th Ave, Eau Claire, WI 54703-5698 | 2012-05-15 |
| 1952618225 | D H C S C | Dentist | 215 5th Ave, Eau Claire, WI 54703-5698 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| 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 |
|---|---|---|---|---|
| 1932663416 | Miranda Johnson | Dentist | 615 W Clairemont Ave Ste 120, Eau Claire, WI 54701-6223 | 2019-01-29 |
| 1659843746 | Marwan Ibrahem | Dentist | S5177 Damar Private Dr, Eau Claire, WI 54701-2223 | 2018-12-30 |
| 1487889259 | Katie Elizabeth Rognlien | Dentist | 4423 Golf Ter, Suite 4, Eau Claire, WI 54701-4902 | 2009-05-22 |
| 1356516165 | Larry L Mcclean | Dentist | 620 W Clairmont Ave, Chippewa Valley Technical College Dental Hygiene Clinic, Eau Claire, WI 54701 | 2008-04-23 |
| 1154446508 | William D Bethke | Dentist | 3131 Stein Blvd, Eau Claire, WI 54701-6997 | 2007-03-21 |
| 1093844110 | Gregory Allen Habben | Dentist | 3300 Birch St Ste 3b, Eau Claire, WI 54703-2297 | 2007-03-05 |
| 1184753527 | Kevin J Munns | Dentist | 4423 Golf Ter Ste 4, Eau Claire, WI 54701-4903 | 2007-03-03 |
| 1598894925 | Melinda Marie Rosenberger | Dentist | 2302 Hendrickson Dr, Eau Claire, WI 54701-6185 | 2007-03-02 |
| 1710038609 | Marjorie Ann Clement | Dentist | 304 Gray Street, Eau Claire, WI 54701 | 2007-01-16 |
| 1699837138 | Oakpark Dental - Eau Claire | Dentist | 4605 Royal Dr, Eau Claire, WI 54701-2928 | 2006-12-14 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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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.