Michael Thomas D'Hondt, D.D.S.
Individual provider Active NPI Dentist · Milton, WI
NPI 1295147635 · NPPES record last updated Jan 14, 2015
Key facts
- NPI
- 1295147635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7248-15 (WI)
- Practice address
- 311 Parkview Dr
Milton, WI 53563-1538 - Phone
- (313) 575-5292
- NPI assigned
- May 20, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020985 | MI | MD | Dentist |
| 7248-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Dental LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7248-15 | WI | Yes |
| Dentist | 122300000X | 2901020985 | MI |
Addresses
Primary practice location
311 Parkview Dr
Milton, WI 53563-1538
Mailing address
311 Parkview Dr
PO Box 96
Milton, WI 53563-1538
Phone (313) 575-5292
Other providers in Milton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.