Shoreline Periodontics Limited

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

SHORELINE PERIODONTICS LIMITED

Practice address

2808 Kohler Memorial Dr
Suite 2
Sheboygan, WI 53081-3177

Phone

(920) 452-8802

Fax

(920) 452-2852

NPI assigned

Dec 31, 2008

Last updated

Dec 31, 2008By 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

Dr. Henry William Hoge, DDS MSNPI 1457496580

Title

Owner

Phone

(920) 452-8802

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Henry William Hoge, DDS MS

  • Periodontics
  • Sheboygan, WI
  • NPI 1457496580
  NPD (past) Authorized official
• Michael S. Hoge, D.M.D., M.S.

  • Periodontics
  • Sheboygan, WI
  • NPI 1033366406
  NPD (past)

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1376789933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 KOHLER MEMORIAL DR",
            "address_2": "SUITE 2",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813177",
            "telephone_number": "920-452-8802",
            "fax_number": "920-452-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 KOHLER MEMORIAL DR",
            "address_2": "SUITE 2",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813177",
            "telephone_number": "920-452-8802",
            "fax_number": "920-452-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE PERIODONTICS LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "HOGE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-452-8802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Shircel, OD
• Mary J Sholten, FIRST ASSIST
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• Shopko Stores Operating Co. LLC (ShopKo Optical 116)
• Shoptikal LLC (Shopko Optical 4301)
• Shoreline Skin Specialists, S.C.
• William M Shows, D.M.D.,M.S.
• Ashley Sidlauskas, PTA
• Kenneth Siebels, OTR/L
• Stephanie Siegert, D.C.

• Periodontics in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Periodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.