Fox Run Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FOX RUN DENTAL, LLC

Practice address

229 E Franklin St
Appleton, WI 54911-5434

Phone

(920) 235-3251

Fax

(920) 235-3567

NPI assigned

Jul 10, 2017

Organization subpart

No

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

Authorized official

Name

Wyn Steckbauer, DMDNPI 1841391109

Title

Owner

Phone

(920) 235-3251

Specialties & licenses 1

Addresses

Practitioners 1

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

• Wyn Steckbauer, D.M.D.

  • Dentist
  • Oshkosh, WI
  • NPI 1841391109
  NPD Authorized official

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1124540315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WITZEL AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549041700",
            "telephone_number": "920-235-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E FRANKLIN ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115434",
            "telephone_number": "920-235-3251",
            "fax_number": "920-235-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX RUN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "STECKBAUER",
        "authorized_official_first_name": "WYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-235-3251",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Appleton, WI
• Providers in Appleton, 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 18, 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.