NPIMap

Organization Active NPI

Platteville Dental LLC

  • Dental Clinic/Center
  • Platteville, WI
National Provider Identifier
1255573184
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6103 Issued in WI
Legal business name
PLATTEVILLE DENTAL LLC
Practice address
1270 N Water St
Platteville, WI 53818-1450
Phone
(608) 348-2393
Fax
(608) 348-4430
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Amanda Jacquinot
Title
Business Manager
Phone
(608) 852-7298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6103 WI Primary

Addresses

Primary practice location

1270 N Water St
Platteville, WI 53818-1450

Mailing address

1270 N Water St
Platteville, WI 53818-1450
Phone (608) 348-2393

National Provider Directory

National Provider Directory
Tax ID family
Platteville Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1255573184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 N WATER ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181450",
            "telephone_number": "608-348-2393",
            "fax_number": "608-348-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N WATER ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181450",
            "telephone_number": "608-348-2393",
            "fax_number": "608-348-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTEVILLE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "JACQUINOT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "608-852-7298"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "6103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.