Downtown Dental, S.C.

Primary specialty

DentistTaxonomy code 122300000X

License

5001118 Issued in WI

Legal business name

DOWNTOWN DENTAL, S.C.

Practice address

114 Cascade St.
Osceola, WI 54020-0387

Phone

(715) 294-2334

Fax

(715) 294-2220

NPI assigned

Sep 22, 2006

Last updated

Aug 22, 2020By 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. Richard Leslie Hafdahl, D.D.S.NPI 1477653277

Title

President

Phone

(715) 294-2334

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Richard Leslie Hafdahl, D.D.S.

  • Dentist
  • Osceola, WI
  • NPI 1477653277
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639279433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CASCADE ST.",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200387",
            "telephone_number": "715-294-2334",
            "fax_number": "715-294-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CASCADE ST.",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200387",
            "telephone_number": "715-294-2334",
            "fax_number": "715-294-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENTAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAFDAHL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-294-2334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Delovely, ATC
• Cody Scott Dexter, MS MFT
• Kimberly Ann Donaldson, MSN, PMHNP-BC, APNP
• Douglas E Nykanen (Osceola Pharmacy)
• Amanda Louise Downing, MA, LMFT
• Ecumen (LO Simenstad Nursing Care Unit)
• Ecumen (L.O. Simenstad)
• Edling Chiropractic and Rehabilitation P.a.
• Steven John Edling, D.C., C.S.S.P.
• Tamara Ann Erickson, PT

• Dentist in Osceola, WI
• Providers in Osceola, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.