Center for Dentistry and Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3383 Issued in WI

Legal business name

CENTER FOR DENTISTRY AND ORTHODONTICS

Practice address

5625 Woodland St
Stevens Point, WI 54481-8637

Phone

(715) 341-8335

Fax

(715) 343-0977

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gerald S. Walczak, D.D.S.NPI 1700096641

Title

Dentistry

Phone

(715) 341-8335

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Stephen Walczak, D.D.S.

  • General Practice Dentistry
  • Stevens Point, WI
  • NPI 1700096641
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699985754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MAPLE BLUFF RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544819267",
            "telephone_number": "715-345-2168",
            "fax_number": "715-343-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 WOODLAND ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544818637",
            "telephone_number": "715-341-8335",
            "fax_number": "715-343-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTISTRY",
        "authorized_official_telephone_number": "715-341-8335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Carley, MA, LPC
• Ronda Leah Cates, ADN
• Catholic Charities of the Diocese of la Crosse, Inc.
• Caroline Caton, LCSW
• Michael W Cavanaugh, P.A.-C
• Central Orthodontic Specialists, S.C.
• Central Wisconsin Radiologists SC
• Breanne Leigh Ceranske, PA-C
• Champion Chiropractic LLC (Champion Chiropractic)
• Sonal Chandratre, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Orthodontics and Dentofacial Orthopedics 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.