Homestead Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HOMESTEAD DENTAL LLC

Practice address

1580 W. American Drive
Neenah, WI 54956-5494

Phone

(920) 858-6907

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Megan Wolfinger, DDSNPI 1730613555

Title

Dentist/Owner

Phone

(920) 858-6907

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Megan Wolfinger, D.D.S.

  • General Practice Dentistry
  • Neenah, WI
  • NPI 1730613555
  NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1093595548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1881 SAVANNAH DR",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428597",
            "telephone_number": "920-858-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W. AMERICAN DRIVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565494",
            "telephone_number": "920-858-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "WOLFINGER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "920-858-6907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730613555",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Hogg, FNP-BC
• Renee Ann Holdren, RN
• Krista Lynn Holland, OTR
• Peter David Holzwarth, MD
• Nancy Homb, LMFT
• Phan Yen Hong-Lishner, PH.D.
• Madison Blair Hopfensperger, DC, ATC
• David M Horak, MD
• Eric Michael Horrell, APNP
• Lauren J Houle, PHARMD

• Dental Clinic/Center in Neenah, WI
• Providers in Neenah, 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 Oct 3, 2023; 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.