MAPLEWOOD DENTAL (NPI# 1902972896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902972896 |
| Entity Type | Organization |
| Organization Name | MAPLEWOOD DENTAL |
| Practice Address |
1202 County Trunk Ph Suite 300 Onalaska WI 54650 |
| Practice Telephone | 6087837330 |
| Practice Fax Number | 6081835082 |
| Mailing Telephone | 6087837330 |
| Mailing Fax Number | 6081835082 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2009-06-01 |
| Authorized Official Name | GENIE KUBLE (CONTACT OFFICER) |
| Authorized Official Telephone | 9204500157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1202 COUNTY TRUNK PH SUITE 300 |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| 1023193026 | Summerfield Vision Care LLC | Optometrist | 201 Sand Lake Road, Onalaska, WI 54650 | 2006-10-26 |
| Find all providers in zip 54650 | ||||
| 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 |
|---|---|---|---|---|
| 1720496979 | Erik David Johnson | Dentist | 1637 Main St Ste 1, Onalaska, WI 54650-2854 | 2014-07-31 |
| 1588808091 | David Huggett | Dentist | 1062 Oak Forest Dr, Suite 200, Onalaska, WI 54650-3489 | 2009-04-28 |
| 1083746523 | Terry Cowgill | Dentist | 2831 National Dr, Onalaska, WI 54650-6703 | 2007-03-11 |
| 1194818922 | Michael Gavin | Dentist | 1637 Main St, Onalaska, WI 54650-2853 | 2006-10-02 |
| 1083713176 | Jason Bradley Snebold | Dentist | 1218 Red Cedar Ct, Onalaska, WI 54650-9135 | 2006-09-22 |
| 1851401863 | Oak Forest Dental Inc | Dentist | 1062 Oak Forest Drive, Suite 200, Onalaska, WI 54650 | 2006-08-30 |
| 1033225123 | Kenneth Duane Roland | Dentist | 174 South Fm 356, Onalaska, TX 77360-1419 | 2006-08-22 |
| 1801858659 | David Eugene Amundson | Dentist | 1285 Rudy St, Suite 102, Onalaska, WI 54650-8580 | 2006-04-05 |
| 1841812633 | Dana Elizabeth Baldwin | Dentist | 1831 E Main St, Onalaska, WI 54650-8757 | 2020-05-14 |
| 1184284259 | Kari Marie Higdem | Dentist | 3132 Market Pl, Onalaska, WI 54650-6705 | 2019-06-19 |
| Find all providers in ONALASKA | ||||
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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.