WD Dental Implant

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WD DENTAL IMPLANT

Practice address

21 S Bruns Ave
Plymouth, WI 53073-2562

Phone

(920) 892-2951

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Denise Shih O'Brien, DDS

Title

Owner

Phone

(414) 520-6806

Specialties & licenses 1

Addresses

Other names 1

• You Smile Dental Implant Center Doing business as

Locations

Practitioners 1

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

• Denise Y Shih

  • Periodontics
  • Milwaukee, WI
  • NPI 1891903043
  NPD

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1487429205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S BRUNS AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530732562",
            "telephone_number": "920-892-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S BRUNS AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530732562",
            "telephone_number": "920-892-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WD DENTAL IMPLANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "SHIH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-520-6806",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "You Smile Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Wacker
• William J Wagner, DO
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Joseph Allen Weber, MD
• Sarah A Wegner, PT
• Joseph P White, DDS
• Bradley J Wicklund, O.D.
• Corinne Beiersdorf Wicklund, OD

• All providers in Plymouth, WI
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.