The Dental Extraction Company, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE DENTAL EXTRACTION COMPANY, LLC

Practice address

2664 S Oneida St Ste 104
Green Bay, WI 54304-5615

Phone

(920) 234-8904

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Samuel SchmidtNPI 1568737393

Title

Owner

Phone

(612) 877-2650

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Kurt Schmidt, D.D.S.

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1568737393
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1336914969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 S ONEIDA ST STE 104",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 S ONEIDA ST STE 104",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045615",
            "telephone_number": "920-234-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL EXTRACTION COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-25",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-877-2650"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Thapa, MD
• Cori M Thayse, APNP
• Madysen J Thayse, MSW, APSW
• The Bay at Maple Ridge Health and Rehabilitation LLC
• The Center for Dental Excellence, S.C.
• The Milk Grove
• The Salvation Army
• The Wellness Way Green Bay LLC
• Jamie Theisen, SAC-IT
• Janet M Thibert, AU.D.

• Dental Clinic/Center in Green Bay, WI
• Providers in Green Bay, 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 Nov 27, 2023; 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.