NPIMap

Organization Active NPI

Dennis P Quinlan DDS SC

  • Dentist
  • Appleton, WI
National Provider Identifier
1184756785
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2385 Issued in WI
Legal business name
DENNIS P QUINLAN DDS SC
Practice address
420 E Longview Dr
Suite C
Appleton, WI 54911
Phone
(920) 731-5082
Fax
(920) 731-0282
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis P Quinlan, DDSNPI 1467536243
Title
Dentist Owner
Phone
(920) 731-5082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2385 WI Primary

Addresses

Primary practice location

420 E Longview Dr
Suite C
Appleton, WI 54911

Mailing address

420 E Longview Dr
Suite C
Appleton, WI 54911
Phone (920) 731-5082

National Provider Directory

National Provider Directory

Locations

420 E Longview Dr
Ste C
Appleton, WI 54911
Phone (920) 731-5082

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184756785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E LONGVIEW DR",
            "address_2": "SUITE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-731-5082",
            "fax_number": "920-731-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E LONGVIEW DR",
            "address_2": "SUITE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-731-5082",
            "fax_number": "920-731-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS P QUINLAN DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "920-731-5082",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "2385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.