Veneman Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3669 Issued in WI

Legal business name

VENEMAN DENTAL CARE, LLC

Doing business as

Veneman Dental Care, Woodville WI

Practice address

131 S Main St
Woodville, WI 54028-9545

Phone

(715) 483-9705

NPI assigned

Feb 8, 2018

Last updated

Feb 8, 2018By 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. Derrick Veneman, DDS

Title

Owner

Phone

(651) 303-3203

Specialties & licenses 1

Addresses

Other names 1

• Veneman Dental Care, Woodville WI Doing business as

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1043719602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S MAIN ST",
            "city": "WOODVILLE",
            "state": "WI",
            "postal_code": "540289545",
            "telephone_number": "715-483-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S MAIN ST",
            "city": "WOODVILLE",
            "state": "WI",
            "postal_code": "540289545",
            "telephone_number": "715-483-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENEMAN DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "VENEMAN",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-303-3203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "3669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veneman Dental Care, Woodville WI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Klundt, SLP/CCC
• Dixie Lee Olson, RN, GNP-BC
• Park View Home, Inc.
• Montana Peterson
• Carolyn June Serier, LAC

• Dental Clinic/Center in Woodville, WI
• Providers in Woodville, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.