Prairie Run Dental of Central Wisconsin Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRAIRIE RUN DENTAL OF CENTRAL WISCONSIN INC.

Doing business as

Prairie Run Dental

Practice address

1807 Prairie Dr
Marshfield, WI 54449-1012

Phone

(715) 387-1724

NPI assigned

Jan 16, 2026

Last updated

Jan 16, 2026By 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

Jenna Buss

Title

Administrator/Owner

Phone

(715) 387-1724

Specialties & licenses 1

Addresses

Other names 1

• Prairie Run Dental Doing business as

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1689533614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 PRAIRIE DR",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491012",
            "telephone_number": "715-387-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 PRAIRIE DR",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491012",
            "telephone_number": "715-387-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE RUN DENTAL OF CENTRAL WISCONSIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "715-387-1724"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Run Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Joseph Polga, MD
• Kristen M Polga, MD
• Amalia Barroso Pontes, M.D.
• Apurva Chandrakant Popat, MD
• Rachel Popelka
• Prairie Run Dental S.C.
• Tara S Preston, NP
• Preventiongenetics LLC
• Jared Lee Pritchard, PHARM.D.
• Professional Breathing Associates Inc (Rotech)

• General Practice Dentistry in Marshfield, WI
• Providers in Marshfield, 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 Jan 16, 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.