Advanced Dental Care, S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADVANCED DENTAL CARE, S.C.

Practice address

62 S Pleasantview Rd
Plymouth, WI 53073-4954

Phone

(920) 892-8466

Fax

(920) 892-8467

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rieck A Beiersdorf

Title

Owner,President

Phone

(920) 892-8466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679795447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 S PLEASANTVIEW RD",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734954",
            "telephone_number": "920-892-8466",
            "fax_number": "920-892-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 S PLEASANTVIEW RD",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734954",
            "telephone_number": "920-892-8466",
            "fax_number": "920-892-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEIERSDORF",
        "authorized_official_first_name": "RIECK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER,PRESIDENT",
        "authorized_official_telephone_number": "920-892-8466",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melinda Holly Altman, ARNP
• Kristin Anderson-Vorpahl, PT, DPT, OTR

• General Practice Dentistry in Plymouth, WI
• Providers in Plymouth, WI by specialty
• General Practice Dentistry 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.