Galesville Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GALESVILLE DENTAL LLC

Practice address

N17942 Beaver Creek Court
Galesville, WI 54630-5463

Phone

(608) 582-4115

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By 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

Ursula Sigrid Von Uhl-Koxlien

Title

Office Adm

Phone

(608) 582-4115

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Galen Roy Koxlien, DDS

  • Dentist
  • Galesville, WI
  • NPI 1669597928
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1124791538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715",
            "city": "GALESVILLE",
            "state": "WI",
            "postal_code": "546300715",
            "telephone_number": "608-582-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N17942 BEAVER CREEK COURT",
            "city": "GALESVILLE",
            "state": "WI",
            "postal_code": "546305463",
            "telephone_number": "608-582-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESVILLE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "VON UHL-KOXLIEN",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "SIGRID",
        "authorized_official_title_or_position": "OFFICE ADM",
        "authorized_official_telephone_number": "608-582-4115"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Molly Mae Flynn, D.C.
• Galesville Chiropractic LLC
• Galesville LTC Pharmay LLC (Galesville LTC Pharmacy)
• Gundersen Clinic, LTD
• Christine Kathryn Hoffmann, RD
• Heather Anne Marie James
• Gerald Francis Jennings

• Dental Clinic/Center in Galesville, WI
• Providers in Galesville, 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 Jul 30, 2021; 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.