NPIMap

Organization Active NPI

Oshkosh Smiles Dentistry LLC

  • General Practice Dentistry
  • Oshkosh, WI
National Provider Identifier
1689018848
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2950 Issued in WI
Legal business name
OSHKOSH SMILES DENTISTRY LLC
Practice address
1218 Witzel Ave
Oshkosh, WI 54902-5659
Phone
(920) 233-6001
Fax
(920) 233-9769
NPI assigned
Apr 18, 2013
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Dr. Michael Lloyd Hanneman, DDSNPI 1912083411
Title
Owner
Phone
(920) 233-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2950 WI Primary

Addresses

Primary practice location

1218 Witzel Ave
Oshkosh, WI 54902-5659

Mailing address

1218 Witzel Ave
Oshkosh, WI 54902-5659
Phone (920) 233-6001

Other names 1

  • Hanneman Dustrude Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

1218 Witzel Ave
Oshkosh, WI 54902
Phone (920) 231-7780

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1689018848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 WITZEL AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025659",
            "telephone_number": "920-233-6001",
            "fax_number": "920-233-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 WITZEL AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025659",
            "telephone_number": "920-233-6001",
            "fax_number": "920-233-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHKOSH SMILES DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "HANNEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-233-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanneman Dustrude Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.