Hillside Dental Associates
Organization Active NPI General Practice Dentistry · Ripon, WI
NPI 1396765640 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1396765640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3668 (WI)
- Legal business name
- HILLSIDE DENTAL ASSOCIATES
- Practice address
- 644 W Oshkosh St
Ripon, WI 54971-1001 - Phone
- (920) 748-6122
- Fax
- (920) 748-6070
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Robin Berg
- Title
- Office Manager
- Phone
- (920) 748-6122
Practitioners 4
-
Marissa Renee Bunge, DDS
-
Jessica L Davis, D.D.S.
-
Stephan W. Eiler, D.D.S.
National Provider Directory
Locations
644 W Oshkosh St
Ripon, WI 54971
Phone (920) 748-6122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 3668 | WI | Yes |
Addresses
Primary practice location
644 W Oshkosh St
Ripon, WI 54971-1001
Mailing address
644 W Oshkosh St
PO Box 510
Ripon, WI 54971-1001
Phone (920) 748-6122
Other providers in Ripon, WI
- Elizabeth Marie Hayes
- Audra Hazelberg
- Joseph D Heckenkamp
- Sarah Ann Heyn
- Amanda J Hiemstra
- Angela Hoffman
- Kathleen Kay Hones
- Robert H House
- Brianne Huettner
- Cheryl J Iverson
All providers in Ripon, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.