Dental Expressions SC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5139-15 Issued in WI

Legal business name

DENTAL EXPRESSIONS SC

Practice address

N3946 Columbia Ave
Freedom, WI 54130-7552

Phone

(920) 788-6280

NPI assigned

Mar 19, 2014

Last updated

Jan 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Heil, DDSNPI 1528071990

Title

President

Phone

(920) 428-5416

Specialties & licenses 1

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.

• Robert Heil, DDS

  • General Practice Dentistry
  • Oshkosh, WI
  • NPI 1528071990
  NPD Authorized official
• Heather Marie Heil, D.D.S.

  • Dentist
  • Kaukauna, WI
  • NPI 1275758716
  NPD (past)

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1588081210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E TALLGRASS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137505",
            "telephone_number": "920-428-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3946 COLUMBIA AVE",
            "city": "FREEDOM",
            "state": "WI",
            "postal_code": "541307552",
            "telephone_number": "920-788-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EXPRESSIONS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "HEIL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-428-5416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5139-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Rose Brockman, PTA
• Brittney De Jong, MAT, ATC
• Cassandra De Wolfe, RDH
• Brooke Elizabeth Eberly, CD
• Freedom School District
• Amber Louise Geiger, COTA
• Joshua Steven Haring, LPN
• Marissa Lynn Haug, LAT, ATC

• Dental Clinic/Center in Freedom, WI
• Providers in Freedom, 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 Jan 7, 2022; 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.