University Hills Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6795-15 Issued in WI

Legal business name

UNIVERSITY HILLS DENTAL LLC

Practice address

3541 University Ave
Madison, WI 53705-2140

Phone

(608) 238-8228

NPI assigned

Aug 17, 2011

Organization subpart

Yes

Parent organization

STEPPING STONE DENTAL PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Genevieve Poppe

Title

Director of Operations

Phone

(608) 358-3370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1154601540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052140",
            "telephone_number": "608-238-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052140",
            "telephone_number": "608-238-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HILLS DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPPING STONE DENTAL PARTNERS LLC",
        "enumeration_date": "2011-08-17",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "POPPE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "608-358-3370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6795-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.