David John Aicher, D.D.S.
Individual provider Active NPI General Practice Dentistry · Wausau, WI
NPI 1609967686 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609967686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4043 (WI)
- Practice address
- 617 Jackson St
Wausau, WI 54403-5550 - Phone
- (715) 842-3321
- Fax
- (715) 842-0507
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150609000335 | WI | Order and Referring Only - Oral Surgery |
1355662875 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J. Aicher DDS SC | Past | Accepting new patients | |
| Advanced Dental Professionals, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4043 | WI | Yes |
Addresses
Primary practice location
617 Jackson St
Wausau, WI 54403-5550
Mailing address
617 Jackson St
Wausau, WI 54403-5550
Phone (715) 842-3321
Other providers in Wausau, WI
- Advanced Dental Professionals, LLC
- Advanced Pain Management SC
- Belal Sayed Afridi
- Ian Jeffrey Agar
- Sandeep Aggarwal
- Aim Chiropractic LLC
- Eve Akey
- Leah Akey
- Tania Valentina Alarcon
- Zurab Albekioni
All providers in Wausau, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.