New Holstein Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEW HOLSTEIN FAMILY DENTAL

Doing business as

Kiel and New Holstein Family Dental

Practice address

1250 Teckla PL
Kiel, WI 53042-9623

Phone

(920) 898-4110

NPI assigned

May 30, 2025

Last updated

May 30, 2025By 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

Constance Wallander, DMDNPI 1063722643

Title

Owner Dentist

Phone

(920) 894-2305

Specialties & licenses 1

Addresses

Other names 1

• Kiel and New Holstein Family Dental Doing business as

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.

• Constance Annie Wallander, D.M.D.

  • Dentist
  • Kiel, WI
  • NPI 1063722643
  NPD Authorized official
• Prachi Shah, DMD

  • Dentist
  • Kiel, WI
  • NPI 1669159786
  NPD

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1457244451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 TECKLA PL",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530429623",
            "telephone_number": "920-898-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 TECKLA PL",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530429623",
            "telephone_number": "920-898-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOLSTEIN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "WALLANDER",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "920-894-2305",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiel and New Holstein Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Elizabeth Loose, APNP
• David Maile
• Tony Matznick
• MH Health Care Services, PC
• Jody Muten, RN, BSN
• Tyler R Olig
• Darla Otto, CSW, MSM, CTACC
• Pathways to a Better Life, LLC (Pathways To A Better Life - Kiel Campus 1)
• David James Pieper, D.D.S.
• Pamela Quezaire, MSE CSAC ICS

• Dental Clinic/Center in Kiel, WI
• Providers in Kiel, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.