Blado Dental Clinic LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WI5000133 Issued in WI

Legal business name

BLADO DENTAL CLINIC LTD.

Practice address

1116 Superior Ave
Tomah, WI 54660

Phone

(608) 372-3261

Fax

(608) 374-4778

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James J Blado, DDS

Title

Dentist

Phone

(608) 372-3261

Specialties & licenses 1

Addresses

Other names 1

• Winning Smiles Dentistry Other name

Locations

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1023244134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 SUPERIOR AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-3261",
            "fax_number": "608-374-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 SUPERIOR AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-3261",
            "fax_number": "608-374-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADO DENTAL CLINIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "BLADO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "608-372-3261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "WI5000133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winning Smiles Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Edie Betthauser, RN
• Leanne V Beyer, RN
• Sarah Black, RN
• Carolyn Rae Blackdeer, LCSW
• Elliot Blackdeer
• Esta Amanda Blevins, MSW, LCSW
• Jill E Boulden, MD
• Thomas E Boulden, OD
• Zachary John Boulden
• Karina Boyea

• General Practice Dentistry in Tomah, WI
• Providers in Tomah, 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 Jun 3, 2009; 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.