Oshkosh Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OSHKOSH FAMILY DENTAL LLC

Practice address

1815 W Pointe Dr
Oshkosh, WI 54902-4174

Phone

(608) 833-2213

NPI assigned

Mar 27, 2019

Organization subpart

Yes

Parent organization

CHERRY TREE DENTAL, LLCAs reported in NPPES

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

Authorized official

Name

Olga Grenova

Title

Controller

Phone

(608) 215-5899

Specialties & licenses 1

Addresses

Part of

Cherry Tree Dental LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cherry Tree Dental, LLC

  • General Practice Dentistry
  • Wausau, WI
  • NPI 1861547754
  NPPES parent name

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1699236240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171900",
            "telephone_number": "608-833-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024174",
            "telephone_number": "608-833-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHKOSH FAMILY DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERRY TREE DENTAL, LLC",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "GRENOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "608-215-5899"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oshkosh Chiropractic Center, S.C.
• Oshkosh Community Young Men'S Christian Association, Inc.
• Oshkosh Complete Dentistry LLC
• Oshkosh Counseling Center Inc
• Oshkosh Family Dental 2, LLC
• Oshkosh Health Services Division
• Oshkosh Management, LLC
• Oshkosh Marriage and Family Therapy Center, LLC
• Oshkosh Murdock Al Operations LLC
• Oshkosh Optical Center S. C.

• Dentist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.