Walsh Dental Appleton, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WALSH DENTAL APPLETON, LLC

Doing business as

Walsh Dental Group

Practice address

2563 E Calumet St
Appleton, WI 54915-4748

Phone

(715) 524-2581

NPI assigned

Apr 17, 2024

Last updated

Apr 17, 2024By 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

Dr. Ashley L Walsh, DDSNPI 1811377054

Title

Owner

Phone

(715) 524-2581

Specialties & licenses 1

Addresses

Other names 1

• Walsh Dental Group Doing business as

Practitioners 2

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.

• Ashley Walsh, DDS

  • General Practice Dentistry
  • Shawano, WI
  • NPI 1811377054
  NPD Authorized official
• Scarlett Clarice Young, DDS

  • Dentist
  • Shawano, WI
  • NPI 1679153563
  NPD

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1184478810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541661216",
            "telephone_number": "715-524-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154748",
            "telephone_number": "715-524-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH DENTAL APPLETON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-524-2581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walsh Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric T Wallace, DPT
• Kristin Nicole Wallace, M.S., OTR
• Stephanie Mary Wallace, MD
• Keelyn Marie Wallenfang, APNP
• Tyler Jerome Wallenfang, PHARMD
• Cyril Walsh, MD
• Bruce L. Walters, DDS
• Chad Walters, LPCIT, SACIT
• Chadbourne Walters, APNP
• Eric Wang

• Dental Clinic/Center in Appleton, WI
• Providers in Appleton, 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 Apr 17, 2024; 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.