Reilly Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REILLY DENTAL, LLC

Practice address

1018 E King Road
Tomahawk, WI 54487

Phone

(715) 453-7071

Fax

(715) 453-9461

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Michael P Reilly, DDSNPI 1912100280

Title

Owner/Practioner

Phone

(715) 453-7071

Specialties & licenses 2

Addresses

Other names 1

• Reilly Family Dental, LLC Former legal business name

Locations

Practitioners 3

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

• Michael Patrick Reilly, DDS

  • Dentist
  • Tomahawk, WI
  • NPI 1912100280
  NPD (past) Authorized official
• Dewey Irving Reilly, DDS

  • Dentist
  • Tomahawk, WI
  • NPI 1780887067
  NPD (past)
• Dewey Nickels Reilly, DDS

  • Dentist
  • Tomahawk, WI
  • NPI 1548463813
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1063615342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "54487",
            "telephone_number": "715-453-7071",
            "fax_number": "715-453-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 E KING ROAD",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "54487",
            "telephone_number": "715-453-7071",
            "fax_number": "715-453-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REILLY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "715-453-7071",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reilly Family Dental, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Danielle Marie Polega, NP-C
• Premise Health of Connecticut Medical, P.C. (Harley Davidson Health Center-Tomahawk)
• Premise Health of Wisconsin Medical S C (CareHere A Premise Health company eHealth Center- Tomahawk)
• Psychological Resource Center LLC
• Lee W Purdy, O.D.
• Dewey Irving Reilly, DDS
• Dewey Nickels Reilly, DDS
• Michael Patrick Reilly, DDS
• Rhonda J Repinski, APNP
• Ciana Marie Rose

• General Practice Dentistry in Tomahawk, WI
• Providers in Tomahawk, 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 Aug 17, 2026; 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.