Active NPI
Bull Falls Dental, LLC
- Dental Clinic/Center
- Wausau, WI
National Provider Identifier
1487314407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BULL FALLS DENTAL, LLC
- Practice address
- 211 N 3Rd Ave
Wausau, WI 54401-4411 - Phone
- (715) 845-7154
- NPI assigned
- Dec 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wyn Steckbauer
- Title
- Owner
- Phone
- (920) 410-7900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
211 N 3Rd Ave
Wausau, WI 54401-4411
Mailing address
2300 Witzel Ave
Oshkosh, WI 54904-1700
Phone (920) 235-3251
National Provider Directory
National Provider DirectoryLocations
211 N 3rd Ave
Wausau, WI 54401
Phone (715) 845-7154
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oshkosh, WI
- NPI 1841391109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1487314407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WITZEL AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549041700",
"telephone_number": "920-235-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N 3RD AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014411",
"telephone_number": "715-845-7154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BULL FALLS DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-20",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A",
"authorized_official_last_name": "STECKBAUER",
"authorized_official_first_name": "WYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-410-7900"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.