St Croix Valley Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ST CROIX VALLEY DENTAL PLLC

Practice address

705 Rivard St
Somerset, WI 54025

Phone

(715) 247-3318

Fax

(715) 247-2407

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Steven Wolff, DDS

Title

Owner Dentist

Phone

(651) 439-2600

Specialties & licenses 1

Addresses

Other names 1

• Apple River Dental Doing business as

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689757080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 STILLWATER BLVD N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "55042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RIVARD ST",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "54025",
            "telephone_number": "715-247-3318",
            "fax_number": "715-247-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX VALLEY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "651-439-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "Apple River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Scheierl, DPT
• Andrea Schneider, PT
• School District of Somerset
• Somerset Chiro, LLC
• Somerset Chiropractic, SC
• Kris Swanson
• Jessica Lynn Tomsen, LICSW
• Shari Walters, PT
• Kayla Lynn Weber

• General Practice Dentistry in Somerset, WI
• Providers in Somerset, 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.