Cliffside Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CLIFFSIDE DENTAL, LLC

Practice address

2645 S Bay Shore Dr
Sister Bay, WI 54234-9160

Phone

(920) 854-5200

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By 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. John Sledge, DDS

Title

Member

Phone

(920) 854-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1710468210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 S BAY SHORE DR",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542349160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 S BAY SHORE DR",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542349160",
            "telephone_number": "920-854-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFSIDE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "SLEDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "920-854-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Medical Group Inc
• Aurora Medical Group, Inc.
• Cassaundra N Bratz, LPC
• Susan Carol Brozek, LCSW
• Rachael Anne Chomeau, PTA
• Cordial Care Corporation (Hearthside)
• Martha L Coventry
• Courtney Rheins Curry, APNP
• Jack Patrick Dooley, DDS
• Door County Memorial Hospital (Door County Medical Center Sister Bay Remote Dispensing Site)

• Dental Clinic/Center in Sister Bay, WI
• Providers in Sister Bay, 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 23, 2018; 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.