Mabeus Dental - Marshfield, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MABEUS DENTAL - MARSHFIELD, LLC

Practice address

101 W McMillan St Ste 2a
Marshfield, WI 54449-1031

Phone

(715) 384-5444

Fax

(715) 384-9019

NPI assigned

Jan 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Genie Kuble

Title

Primary Contact

Phone

(920) 450-0157

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Michael Mabeus, DDS

  • General Practice Dentistry
  • Marshfield, WI
  • NPI 1952432452
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1003569229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MCMILLAN ST STE 2A",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491031",
            "telephone_number": "715-384-5444",
            "fax_number": "715-384-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MCMILLAN ST STE 2A",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491031",
            "telephone_number": "715-384-5444",
            "fax_number": "715-384-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABEUS DENTAL - MARSHFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "KUBLE",
        "authorized_official_first_name": "GENIE",
        "authorized_official_title_or_position": "PRIMARY CONTACT",
        "authorized_official_telephone_number": "920-450-0157"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lukanich
• Jiangming Luo, MD
• David W. Lustig, PA
• Eli Luther, ABOC
• Weiguang Ma, DDS MDS PHD
• Mabeus Dental Office, LLC
• David Michael Mabeus, DDS
• Allison L Machtan, RD
• Eberhard A Mack, MD
• Kim C Mackey, MD

• General Practice Dentistry in Marshfield, WI
• Providers in Marshfield, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.