Acierno Dental SC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ACIERNO DENTAL SC

Doing business as

County Line Dental

Practice address

N97W17095 Division Rd
Germantown, WI 53022-4606

Phone

(262) 251-1699

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ACIERNO DENTAL SCAs reported in NPPES

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

Authorized official

Name

Kristy Wolter

Title

Insurance Manager

Phone

(630) 339-3172

Specialties & licenses 1

Addresses

Other names 1

• County Line Dental Doing business as

Part of

Acierno Dental SC

Locations

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1699323246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E WOODFIELD RD STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734955",
            "telephone_number": "330-339-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N97W17095 DIVISION RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224606",
            "telephone_number": "262-251-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACIERNO DENTAL SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACIERNO DENTAL SC",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "630-339-3172"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Line Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaliyahs Haven LLC
• Sara R Adams, OTR
• Adaptive Technology Resources, Inc.
• Jacob Jay Adashek, DO
• Folake Rose Adeniyi, RN
• Advanced Healthcare, S.C.

• Dental Clinic/Center in Germantown, WI
• Providers in Germantown, WI by specialty
• Dental Clinic/Center in Wisconsin

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