Prosthetic Dental Associates, SC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

PROSTHETIC DENTAL ASSOCIATES, SC

Practice address

2725 Marshall CT
Madison, WI 53705-2288

Phone

(608) 231-2502

Fax

(608) 231-2949

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 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

Paul CorrellNPI 1154330967

Title

President

Phone

(608) 231-2502

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Jeffry Correll

  • Prosthodontics
  • Madison, WI
  • NPI 1154330967
  NPD (past) Authorized official
• Kelly Anorah Beck, D.D.S., M.S.

  • Prosthodontics
  • Madison, WI
  • NPI 1750674362
  NPD (past)
• Dori K. Hosek, B.C.O., B.A.D.O

  • Ocularist
  • Madison, WI
  • NPI 1407283955
  NPD (past)
• Thomas Steinhauer, OD

  • Optometrist
  • Madison, WI
  • NPI 1316901044
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366451171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 COUNTY ROAD P",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289188",
            "telephone_number": "608-231-2502",
            "fax_number": "608-231-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 MARSHALL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052288",
            "telephone_number": "608-231-2502",
            "fax_number": "608-231-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC DENTAL ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORRELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-231-2502"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Pronga, MD
• Pamela A Propeck, MD
• Cathy A. Propper, PH.D.
• Justin M. Propson, D.C.
• James J Prosser, DO
• Chelsea Prothero, D.C.
• Margaret E Proulx, PT
• Benjamin Prout, MD
• Tyler M Prout, MD
• Provision Quality Care LLC

• Prosthodontics in Madison, WI
• Providers in Madison, WI by specialty
• Prosthodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.