Appleton Dental Group LLC

Key facts

NPI

1407355308

Entity type

Organization (NPI type 2)

Primary specialty

Dentist 122300000X

License

6687 (WI)

Legal business name

APPLETON DENTAL GROUP LLC

Practice address

335 E Wisconsin Ave
Appleton, WI 54911-4821

Phone

(920) 734-1803

NPI assigned

Feb 6, 2018

Organization subpart

No

Authorized official

Name

Dr. Dawn Faith Paffel, DDS NPI 1316238306

Title

Dentist/Owner

Phone

(920) 734-1803

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

Practitioners 2

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

• Dawn Faith Paffel, DDS General Practice Dentistry · Appleton, WI · NPI 1316238306
  NPD (past) Authorized official
• Robert James Bastic II, D.D.S. General Practice Dentistry · Appleton, WI · NPI 1811074040
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Dawn Paffel, DDS Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 6, 2018.

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1407355308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114821",
            "telephone_number": "920-734-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114821",
            "telephone_number": "920-734-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETON DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "PAFFEL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "920-734-1803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "6687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawn Paffel, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Appleton, WI · Dentist in Wisconsin