Zachary Case, DDS
Individual provider Active NPI Dentist · Onalaska, WI
NPI 1568039162 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1568039162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1002556 (WI)
- Practice address
- 1840 E Main St Ste 1
Onalaska, WI 54650-7710 - Phone
- (608) 783-1306
- NPI assigned
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002556 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Case Dental LLC Dba Hulse Dental | Current | Accepting new patients |
Locations
1840 E Main St
Ste 100
Onalaska, WI 54650
Phone (608) 783-1306
1840 E Main St
Onalaska, WI 54650
Phone (608) 783-1306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1002556 | WI | Yes |
Addresses
Primary practice location
1840 E Main St Ste 1
Onalaska, WI 54650-7710
Mailing address
1614 Prairie PL Apt 201
Holmen, WI 54636-5326
Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.