Weston Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WESTON SMILES LLC

Practice address

8055 Meadow Rock Dr
Weston, WI 54476-5241

Phone

(715) 241-6800

Fax

(715) 298-3057

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By 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

Aaron J Bushong, DDS

Title

Dentist/Owner

Phone

(715) 573-3546

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1356947055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 MEADOW ROCK DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765241",
            "telephone_number": "715-241-6800",
            "fax_number": "715-298-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 MEADOW ROCK DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765241",
            "telephone_number": "715-241-6800",
            "fax_number": "715-298-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "BUSHONG",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "715-573-3546",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Welles, DDS
• Kathryn Wesenberg, PT, DPT
• Ellen J Westdorp, M.D.
• Weston Family Dental SC
• Weston Physical Therapy and Sports Rehab, LLC
• Tasha R Whitcomb
• David White, DO
• Julie M White, DO
• Meghann White
• Marlene Wilcox, PTA

• General Practice Dentistry in Weston, WI
• Providers in Weston, 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 Dec 8, 2020; 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.