Oak Park Dental Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OAK PARK DENTAL CLINIC

Doing business as

Siren Dental Clinic

Practice address

24164 Highway 35-70
Siren, WI 54872

Phone

(715) 349-2297

Fax

(715) 349-2298

NPI assigned

Feb 26, 2007

Last updated

Mar 9, 2011By 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. Jon E Cruz, D.D.S.

Title

Member

Phone

(715) 349-2297

Specialties & licenses 1

Addresses

Other names 1

• Siren Dental Clinic Doing business as

Tax ID family

Oak Park Dental Clinic2 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.

• Oak Park Dental Clinic

  • General Practice Dentistry
  • Pine City, MN
  • NPI 1508036070
  NPD tax ID

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1285760751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548720269",
            "telephone_number": "715-349-2297",
            "fax_number": "715-349-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24164 HIGHWAY 35-70",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "54872",
            "telephone_number": "715-349-2297",
            "fax_number": "715-349-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-349-2297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siren Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne J Lupo Gondwe, APSW
• Dawn Renee Merchant, MA, LPCC
• Natural Connections Counseling LLC
• Northwest Counseling and Guidance Clinic (Northwest Directions - Siren)
• Northwest Counseling and Guidance Clinic- Siren Day Treatment
• Sheldon Arnold Olesen, D.D.S.
• John D Peterson, PHARMD.
• Tiffany D Peterson, PHARMD
• Jodi Reed, RN
• Michael R Rossow

• Dental Clinic/Center in Siren, WI
• Providers in Siren, 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 Mar 9, 2011; 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.