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

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. Rieck A BeiersdorfNPI 1013085760

Title

Owner,President

Phone

(920) 892-8466

Specialties & licenses 1

Addresses

Locations

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.

• Rieck Albert Beiersdorf, D.D.S.

  • Dentist
  • Plymouth, WI
  • NPI 1013085760
  Authorized official Same address or phone

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": []
}

• 20-20 Visions LLC
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• Dillon Norbert Abhold, PHARMD
• Mitchell Adams
• Advanced Dental Care Clinic SC
• Advanced Eyecare, SC
• Aegis Group Practice LLC
• Alexis Root LCSW LLC
• 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.