PDC Dentistry S C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PDC DENTISTRY S C

Practice address

110 S Ohio St
Prairie Du Chien, WI 53821-1642

Phone

(608) 326-8458

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Bjorn Thompson

Title

Office Manager

Phone

(608) 326-8458

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1184003808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S OHIO ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S OHIO ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211642",
            "telephone_number": "608-326-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDC DENTISTRY S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BJORN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-326-8458"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia J Olijnyk, MD
• Amy L Olson
• Thomas John Olson
• Tierah Ostrander
• Terri L Payne, FNP, CNM
• PDC Dentistry, LLC (PdC Dentistry)
• PDC Hospitalist LLC
• Mark S Perpich, MD
• Shelly Peterson, COTA
• Pisang LLC

• General Practice Dentistry in Prairie Du Chien, WI
• Providers in Prairie Du Chien, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.