Stoeckl Family Dentistry, SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001195-015 Issued in WI

Legal business name

STOECKL FAMILY DENTISTRY, SC

Practice address

W175N11120 Stonewood Dr
Germantown, WI 53022-6511

Phone

(262) 532-0022

Fax

(262) 532-0422

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clemens Kenneth Stoeckl, DDS

Title

Owner

Phone

(262) 532-0022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376762476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226511",
            "telephone_number": "262-532-0022",
            "fax_number": "262-532-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226511",
            "telephone_number": "262-532-0022",
            "fax_number": "262-532-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOECKL FAMILY DENTISTRY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOECKL",
        "authorized_official_first_name": "CLEMENS",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-532-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001195-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSC Germantown Operating Company LLC
• Angela C Stanley, PSY.D.
• Jerrel L Stanley, MD
• Melanie Steffens, PHARMD
• Victoria (Vicki) Dawn Stoddart Walther, LMT
• Clemens K Stoeckl, D.D.S
• April A Stolte, OTR
• Julie M Straseske, LPCIT
• Strategic Medical Transportation
• Superior Mothers

• General Practice Dentistry in Germantown, WI
• Providers in Germantown, 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 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.