John A Satterwhite, D.D.S
Individual provider Active NPI General Practice Dentistry · Phillips, WI
NPI 1043329253 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1043329253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5001357 (WI)
- Practice address
- 605 Peterson Dr
Phillips, WI 54555-1430 - Phone
- (715) 339-3021
- Fax
- (715) 339-3022
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001357 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwoods Dentistry, S.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5001357 | WI | Yes |
Addresses
Primary practice location
605 Peterson Dr
Phillips, WI 54555-1430
Mailing address
605 Peterson Dr
PO Box 10
Phillips, WI 54555-1430
Phone (715) 339-3021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33614700 | Medicaid | WI |
Other providers in Phillips, WI
- Roepke Physical Therapy Limited Partnership
- Heather R Romatowski
- Roundys Supermarkets Inc
- Nancy Jean Rublee
- Michael P Sanderson
- Michelle J Schmidt
- School District of Phillips
- Lori A Severson
- Sport Plus Physical Therapy LLC
- Rebecca Steinbach
All providers in Phillips, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.