Hart Family Dentistry SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3329 Issued in WI

Legal business name

HART FAMILY DENTISTRY SC

Practice address

225 Gunderson Dr
Portage, WI 53901-3430

Phone

(608) 742-3272

Fax

(608) 742-0523

NPI assigned

Mar 13, 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

Mr. Gerald A Hart, DDSNPI 1285623348

Title

President Owner

Phone

(608) 742-3272

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Gerald Allen Hart, DDS

  • Dentist
  • Portage, WI
  • NPI 1285623348
  NPD (past) Authorized official
• Austin Thomas Davies, DDS

  • General Practice Dentistry
  • Portage, WI
  • NPI 1326737594
  NPD (past)
• Matthew Richard Olson, DDS

  • General Practice Dentistry
  • Portage, WI
  • NPI 1083642052
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730212598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GUNDERSON DR",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539013430",
            "telephone_number": "608-742-3272",
            "fax_number": "608-742-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GUNDERSON DR",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539013430",
            "telephone_number": "608-742-3272",
            "fax_number": "608-742-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HART FAMILY DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "608-742-3272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Cooper Hardy
• Ross Lawrence Harford, MSE SCHOOL COUNSELOR
• Dennis E Harkins, OD
• Sarah M Haroldson, MD
• Rachel L Harry, MS, LPC
• Brian Hart, DDS
• Gerald Allen Hart, DDS
• Jami M Hebl, MS
• Jeffrey Robert Hebl, R.PH
• Brian David Heeren, D.C.

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