Acacia Lane Dental - Rhinelander

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ACACIA LANE DENTAL - RHINELANDER

Practice address

664 Acacia LN
Rhinelander, WI 54501-2873

Phone

(715) 365-8664

NPI assigned

Dec 26, 2019

Last updated

Dec 26, 2019By 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

Genie Kuble

Title

Director of Operations

Phone

(715) 833-8755

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1053950956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 NICOLET AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 ACACIA LN",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012873",
            "telephone_number": "715-365-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA LANE DENTAL - RHINELANDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "KUBLE",
        "authorized_official_first_name": "GENIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "715-833-8755"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia E Abano, PT
• Margaret Abel, MD
• Bruce R Abrams, MD
• Acacia Lane Dental, S.C.
• Serena Sue Adler, B.A.
• Advanced Health
• Advanced Medical Transport LLC
• Amanda Aerts

• General Practice Dentistry in Rhinelander, WI
• Providers in Rhinelander, 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 Dec 26, 2019; 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.