DR. GERALD OTTO GATZKE (NPI# 1922104801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922104801 |
Entity Type | Individual |
Full Name | DR. GERALD OTTO GATZKE |
Credential | DDS |
Practice Address |
127 Broad St N Prescott WI 54021-0000 |
Practice Telephone | 7152625113 |
Practice Fax Number | 7152623372 |
Mailing Telephone | 7152625113 |
Mailing Fax Number | 7152623372 |
Enumeration Date | 2006-09-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 5001698015 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33555100 | 05 |
Street Address |
127 BROAD ST N |
City | PRESCOTT |
State | WI |
Zip Code | 54021-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336328038 | School District of Prescott | Local Education Agency (LEA) | 1220 Saint Croix St, Prescott, WI 54021-1042 | 2007-10-30 |
1336407386 | Hillary Jane Hunter | Dentist | 1267 Walnut St, Prescott, WI 54021-1060 | 2012-04-27 |
1922090521 | Ccg Prescott, Inc | Skilled Nursing Facility | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2005-08-19 |
1467051714 | Rebekah Kimlinger | Physical Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2020-10-19 |
1548886278 | Sara Michele Jenkins | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2020-06-18 |
1245700624 | Caitlin Ann Johnson | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-28 |
1164991980 | Sarah Hei | Occupational Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-21 |
1861960791 | Janna M Johnson | Physical Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-08 |
1124528393 | Morgan Lee Williamson | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-02-14 |
1992160535 | Molly Kapping | Speech-Language Pathologist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2015-12-28 |
Find all providers in zip 54021 |
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 |
---|---|---|---|---|
1831557230 | Craig Nikolaus | Dentist | 1583 Prescott View Cir, Prescott, AZ 86301-1556 | 2016-02-01 |
1518277086 | Cardio Sleep Solutions Arizona LLC | Dentist | 804 Ainsworth, Suite 102, Prescott, AZ 86301-1624 | 2010-10-18 |
1649408576 | Jason C. Campbell Dds. | Dentist | 139 Whipple St, Prescott, AZ 86301-1705 | 2009-06-30 |
1457523680 | James Spurgeon | Dentist | 222 S Summit Ave Ste 2, Prescott, AZ 86303-3780 | 2008-03-27 |
1013138841 | Sergio Gerardo Montes | Dentist | 350 W. Whipple St., Prescott, AZ 86301-1714 | 2007-05-01 |
1780702274 | Tommy Curtis Bowman | Dentist | 3765 Crossings Drive, Suite A, Prescott, AZ 86305 | 2007-03-26 |
1457439978 | Peter J Bower | Dentist | 701 W Hillside Ave, Prescott, AZ 86301-1937 | 2006-11-01 |
1144320193 | Michael Joseph Toninato | Dentist | 1015 Campbell St N, Prescott, WI 54021-1157 | 2006-09-22 |
1619933603 | Spurgeon Dental PC | Dentist | 222 S Summit Ave, #2, Prescott, AZ 86303 | 2006-04-26 |
1649232521 | Lance David Green | Dentist | 1225 Willow Creek Rd, Prescott, AZ 86301 | 2006-04-05 |
Find all providers in PRESCOTT |
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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.