Sparta Dental Center SC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5770015 Issued in WI

Legal business name

SPARTA DENTAL CENTER SC

Practice address

3000 Riley Rd
Sparta, WI 54656-6588

Phone

(608) 269-5282

Fax

(608) 269-6315

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Jennifer L Knoll, DDS

Title

Owner

Phone

(608) 269-5282

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.

• Leo J Malin, DDS

  • Dentist
  • La Crosse, WI
  • NPI 1619043510
  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1174701676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 RILEY RD",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546566588",
            "telephone_number": "608-269-5282",
            "fax_number": "608-269-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 RILEY RD",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546566588",
            "telephone_number": "608-269-5282",
            "fax_number": "608-269-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA DENTAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-269-5282",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5770015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly C Skinner, LPC-IT AND SAC-IT
• Jessica L. Sosso, MD
• Sparta Area Ambulance Service LTD
• Sparta Area School District
• Sparta Chiropractic Clinic, LLC
• Sparta Family Dentistry, LLC
• Sparta Pharmacy LLC.
• St. Clare Health Mission of Monroe County, Inc
• Jill M Stebbins, MD
• Megan J Steele, O.T.

• Dental Clinic/Center in Sparta, WI
• Providers in Sparta, 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 Feb 6, 2008; 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.