Verona Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7275-15 Issued in WI

Legal business name

VERONA FAMILY DENTAL LLC

Practice address

109 E Verona Ave
Verona, WI 53593-1218

Phone

(608) 845-6612

NPI assigned

Mar 14, 2012

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

STEPPING STONE DENTAL PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Genevieve Poppe

Title

Director of Operations

Phone

(608) 358-3370

Specialties & licenses 2

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.

• Kelsey Marie Patton Hostetler, DDS

  • Dentist
  • Verona, WI
  • NPI 1578879532
  NPD (past)
• Austin Mathew Wessell, D.D.S.

  • General Practice Dentistry
  • Verona, WI
  • NPI 1093128928
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1538434154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931470",
            "telephone_number": "608-845-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931218",
            "telephone_number": "608-845-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONA FAMILY DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPPING STONE DENTAL PARTNERS LLC",
        "enumeration_date": "2012-03-14",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "POPPE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "608-358-3370"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3838-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7275-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaxpro LLC
• Geraldine Lucia Veneman-Fieschko
• Verona Area School District
• Verona Chiropractic, LLC
• Verona Counseling Associates
• Verona Vision Care, LLC
• Matthew John Vogel, DPT
• Jane Elizabeth Vonck, MSN, FNP-C
• Daniel Joseph Wadzinski, DDS
• Anya E Wait, CD

• General Practice Dentistry in Verona, WI
• Providers in Verona, 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 24, 2014; 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.