Smile Wisconsin LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE WISCONSIN LTD

Practice address

925 S 15TH St
Manitowoc, WI 54220-5051

Phone

(800) 409-2563

Fax

(623) 321-6268

NPI assigned

Oct 8, 2008

Last updated

Oct 8, 2008By 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. Elliot Paul Schlang, DDS

Title

Owner

Phone

(800) 409-2563

Specialties & licenses 1

Addresses

Tax ID family

Smile Wisconsin LTD2 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.

• Smile Wisconsin LTD

  • Dentist
  • Milwaukee, WI
  • NPI 1689942195
  NPD tax ID

Locations

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1336390327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W PARKSIDE LN",
            "address_2": "201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271228",
            "telephone_number": "800-409-2563",
            "fax_number": "623-321-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S 15TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205051",
            "telephone_number": "800-409-2563",
            "fax_number": "623-321-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WISCONSIN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "SCHLANG",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-409-2563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sines, DPT
• Angela Jean Sleger, SAC-IT
• Mary Smet, COTA
• Smile Clinic - Manitowoc LLC
• Smile Clinic, S.C.
• Stephane Marie Smith, LMT
• SMS Counseling Services Inc (Susan M Schutz)
• Jonathan A Snellgrove, DPM
• Bailey Snyder, PA-C
• Stacey Elizabeth Soeldner, PSY.D.

• General Practice Dentistry in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.