Eric Anthony Teduits, D.D.S.,M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4376 Issued in WI

Practice address

2971 Chapel Valley Rd
Suite 202
Fitchburg, WI 53711-7420

Phone

(608) 288-0543

Fax

(608) 288-0626

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• Direct secure messaging: eteduits264381@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457446338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 CHAPEL VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117420",
            "telephone_number": "608-288-0543",
            "fax_number": "608-288-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 CHAPEL VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117420",
            "telephone_number": "608-288-0543",
            "fax_number": "608-288-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDUITS",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "4376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33704700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Symetria Health of Wisconsin, L.L.C. (Symetria Recovery of Madison)
• Linda Szalkucki
• Christine Tam
• Christine M Taylor, MSW, LCSW, CSAC
• Andrew Teduits, DDS
• Dorothy N Tembei, RN
• Temenos Psychology LLC
• Taylor Rae Temple
• Samantha Thao, OTR/L
• Carly Thatcher

• Pediatric Dentistry in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.