Kloek Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KLOEK DENTISTRY LLC

Practice address

W7154 Green Valley Rd
Spooner, WI 54801-8651

Phone

(715) 635-7888

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kloek, DDSNPI 1760791131

Title

Owner

Phone

(715) 635-7888

Specialties & licenses 1

Addresses

Other names 1

• Green Valley Dental Care Doing business as

Locations

Practitioners 2

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

• Paul Arthur Kloek, DDS

  • Dentist
  • Spooner, WI
  • NPI 1760791131
  NPD Authorized official
• Dellin Richard Bakkum, DDS

  • Dentist
  • Spooner, WI
  • NPI 1558445064
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1124621784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7154 GREEN VALLEY RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548018651",
            "telephone_number": "715-635-7888",
            "fax_number": "715-635-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W7154 GREEN VALLEY RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548018651",
            "telephone_number": "715-635-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLOEK DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "KLOEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-635-7888",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Kautter
• Barbara Ann Aug Keefe, D.P.T
• Rachel Keenan, RN
• Janet E Kennedy, P.T.A
• Kelsey A Kidder, LPC
• Paul Arthur Kloek, DDS
• Michael A Knoepke, DDS
• Anne C Kristy, CRNA
• Helen Anne Kuehlman, DO
• Bruce L. Laird, R.PH.

• Dental Clinic/Center in Spooner, WI
• Providers in Spooner, 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 Nov 17, 2020; 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.