Hallquist Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HALLQUIST FAMILY DENTAL LLC

Practice address

2163 W 9TH Ave
Oshkosh, WI 54904-8043

Phone

(608) 833-2213

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Olga Grenova

Title

Dir of Accounting

Phone

(608) 833-2213

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1578118329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048043",
            "telephone_number": "608-833-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLQUIST FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "GRENOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "DIR OF ACCOUNTING",
        "authorized_official_telephone_number": "608-833-2213"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet W Hagen, PH.D.
• Kristoffer L Hagen, CRNA
• Susan Doris Haidlinger, RN
• Jennifer M Halbach-Giese, APNP
• Hallquist Dental, LLC
• Thomas Hallquist, DDS
• Sean P Halpin, O.D.
• Sandra L. Halron, COTA
• Julie Marie Halvorsen-Jacobs, P.T.
• Nicole L Halvorson

• Dental Clinic/Center in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.