NPIMap

Organization Active NPI

Georgeann C. Vargas DDS, LTD

Doing business as Hauge Dental Clinic

  • Dental Clinic/Center
  • Centuria, WI
National Provider Identifier
1396104097
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1001112 Issued in WI
Legal business name
GEORGEANN C. VARGAS DDS, LTD
Doing business as
Hauge Dental Clinic
Luck Dental Clinic
River Birch Dental
Practice address
601 State Road 35
Centuria, WI 54824-9014
Phone
(715) 646-2161
Fax
(715) 646-2023
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Dr. Georgeann C Vargas, DDSNPI 1073992558
Title
Owner
Phone
(715) 646-2161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1001112 WI Primary

Addresses

Primary practice location

601 State Road 35
Centuria, WI 54824-9014

Mailing address

601 State Road 35
PO Box 459
Centuria, WI 54824-9014
Phone (715) 646-2161

Other practice location 1

308 N 1st St
Luck, WI 54853-9087
Phone (715) 472-2211

Other names 3

  • Hauge Dental Clinic Doing business as
  • Luck Dental Clinic Doing business as
  • River Birch Dental Doing business as

National Provider Directory

National Provider Directory

Locations

601 State Road 35
Centuria, WI 54824
Phone (715) 646-2161

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1396104097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 STATE ROAD 35",
            "address_2": "PO BOX 459",
            "city": "CENTURIA",
            "state": "WI",
            "postal_code": "548249014",
            "telephone_number": "715-646-2161",
            "fax_number": "715-646-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROAD 35",
            "city": "CENTURIA",
            "state": "WI",
            "postal_code": "548249014",
            "telephone_number": "715-646-2161",
            "fax_number": "715-646-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Luck",
            "state": "WI",
            "postal_code": "548539087",
            "country_code": "US",
            "telephone_number": "715-472-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGEANN C. VARGAS DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "GEORGEANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-646-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "1001112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hauge Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luck Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Birch Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centuria, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.