Parkdale Dental Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PARKDALE DENTAL CENTER LLC

Practice address

5764 Windy Dr
Stevens Point, WI 54482-8486

Phone

(715) 341-2220

NPI assigned

Jun 3, 2021

Last updated

Jun 3, 2021By 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

Dr. Aaron J Bushong, DDS

Title

Dentist/Owner

Phone

(715) 573-3546

Specialties & licenses 1

Addresses

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.

• Edward J McGrath, DDS

  • Dentist
  • Stevens Point, WI
  • NPI 1578567509

  General Practice

  NPD
• Robert G Schultz, DDS

  • Dentist
  • Stevens Point, WI
  • NPI 1871792846
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1467028969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5764 WINDY DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828486",
            "telephone_number": "715-341-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 WINDY DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828486",
            "telephone_number": "715-341-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKDALE DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "BUSHONG",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "715-573-3546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brehn N Pagel, PT
• Dustin Alan Pagoria, M.D.
• Pain Centers of Wisconsin - Stevens Point, LLC
• Pain Centers of Wisconsin - Stevens Point, LLC
• Josh J Pallen, PT
• Michell K Pascarella, APNP
• Emily Jo Paschen, M.ED., BCBA
• Jinalben Pravinkumar Patel
• Tara A. Patridge, APNP
• Jeanne M Pawielski, PHARMD

• General Practice Dentistry in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.