Active NPI
Damrow Dental LLC
- General Practice Dentistry
- Neenah, WI
National Provider Identifier
1336568351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6192-15
- Legal business name
- DAMROW DENTAL LLC
- Practice address
- 618 S Green Bay Rd
Neenah, WI 54956-3273 - Phone
- (267) 970-0572
- NPI assigned
- Apr 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Damrow, DDS
- Title
- Member
- Phone
- (267) 970-0572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6192-15 | WI | Primary |
Addresses
Primary practice location
618 S Green Bay Rd
Neenah, WI 54956-3273
Mailing address
1350 Wittmann Dr
Menasha, WI 54952-3809
Phone (920) 886-6565
National Provider Directory
National Provider DirectoryLocations
618 S Green Bay Rd
Neenah, WI 54956
Phone (267) 970-0572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396915200000",
"number": "1336568351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 WITTMANN DR",
"city": "MENASHA",
"state": "WI",
"postal_code": "549523809",
"telephone_number": "920-886-6565",
"fax_number": "920-886-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 S GREEN BAY RD",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563273",
"telephone_number": "267-970-0572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAMROW DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A",
"authorized_official_last_name": "DAMROW",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "267-970-0572",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6192-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.