Curtis R. Hebdon, D.D.S., S.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1001802-15 Issued in WI

Legal business name

CURTIS R. HEBDON, D.D.S., S.C.

Doing business as

Kaukauna Family Dentistry

Practice address

233 Dodge St
Kaukauna, WI 54130-2500

Phone

(920) 766-9542

NPI assigned

Aug 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Curtis R. Hebdon, DDS

Title

Practice Owner

Phone

(920) 766-9542

Specialties & licenses 1

Addresses

Other names 1

• Kaukauna Family Dentistry Doing business as

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.

• William J. Farrow, D.D.S.

  • General Practice Dentistry
  • Kaukauna, WI
  • NPI 1508957523
  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1134600448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 DODGE ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302500",
            "telephone_number": "920-766-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 DODGE ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302500",
            "telephone_number": "920-766-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS R. HEBDON, D.D.S., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "HEBDON",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "920-766-9542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "1001802-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaukauna Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clear Approach Optometry SC
• Amy S Coulthard-Atwater, DO
• Courtney Covill, LPC-IT
• Timothy P Culligan, MD
• Paige Cupp, COTA
• Jessica Dance
• Bruce R Danz, MD
• Emily Ann Dary, CRNA
• Phabian Treyvonne Dejean
• Gregory James Dejong, LAT

• Dental Clinic/Center in Kaukauna, WI
• Providers in Kaukauna, 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 Aug 24, 2018; 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.