PURDY FAMILY DENTISTRY (NPI# 1902108814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902108814 |
| Entity Type | Organization |
| Organization Name | PURDY FAMILY DENTISTRY |
| Practice Address |
1730 8th Avenue Baldwin WI 54002 |
| Practice Telephone | 7156883110 |
| Mailing Telephone | 7156883110 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | DR. JAMES PURDY (DENTIST) |
| Authorized Official Telephone | 7153819785 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | PURDY FAMILY DENTISTRY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5625 | WI | Dental Providers |
| Street Address |
1730 8TH AVENUE |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598803256 | Raymond Leroy Price | Dentist | 1730 8th Avenue, Baldwin, WI 54002-0455 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| 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 |
|---|---|---|---|---|
| 1861766081 | Alvin Horing | Dentist | 908 Atlantic Ave, Baldwin, NY 11510-4241 | 2012-03-06 |
| 1174702609 | Patrice Dianna Ferguson | Dentist | 770 Imperial Dr, Baldwin, NY 11510-4535 | 2007-11-01 |
| 1538373782 | Peter C Elarde Jr. | Dentist | 1393 N Grand Ave, Baldwin, NY 11510 | 2007-05-09 |
| 1417160235 | Alvin Horing Dds PC | Dentist | 908 Atlantic Avenue, Baldwin, NY 11510-4241 | 2007-05-08 |
| 1699878777 | Renata Ginsburg | Dentist | 2280 Grand Av, 209, Baldwin, NY 11510 | 2006-09-06 |
| 1760400659 | Julia E Correal | Dentist | 3200 Schreiber Pl, Baldwin, NY 11510-4662 | 2006-07-18 |
| 1851346514 | Michael Harold Merlis | Dentist | 1700 Grand Avenue, Baldwin, NY 11510 | 2006-05-23 |
| 1053859652 | Sweet Tooth Dental | Dentist | 3200 Schreiber Pl, Baldwin, NY 11510 | 2017-02-03 |
| 1568824514 | My Simon Dentistry Pllc | Dentist | 960 Atlantic Ave, Baldwin, NY 11510-4265 | 2016-03-28 |
| 1740539873 | Mark J Rajewski | Dentist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2012-09-05 |
| Find all providers in BALDWIN | ||||
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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.