Mahler Park Dental S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5002102 Issued in WI

Legal business name

MAHLER PARK DENTAL S.C.

Practice address

1512 S Commercial St
Neenah, WI 54956-4802

Phone

(920) 725-5668

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By 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

Dr. David B Ehlert, D.D.S.NPI 1366597221

Title

President

Phone

(920) 725-5668

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• David B Ehlert, D.D.S.

  • General Practice Dentistry
  • Neenah, WI
  • NPI 1366597221
  NPD (past) Authorized official
• Matthew James Scheske, D.D.S.

  • General Practice Dentistry
  • Little Chute, WI
  • NPI 1871972554
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699820563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564802",
            "telephone_number": "920-725-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564802",
            "telephone_number": "920-725-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHLER PARK DENTAL S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EHLERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-725-5668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5002102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Maass, APNP
• Daniel J Macksood, MD
• Angela Macumber
• Pamela Macwilliams, NP
• Ramegowda V Madhusudhan, MD
• Agya Mainali, MD
• Majestic Living Home LLC
• Sydney Makela
• David E Maltry, MD
• John Paul Mancl, D.C.

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