St Croix Family Dentistry, SC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ST CROIX FAMILY DENTISTRY, SC

Practice address

230 S Washington St
Saint Croix Falls, WI 54024-4417

Phone

(715) 483-5026

Fax

(715) 483-7066

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By 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. Amin Syed Uddin, DDSNPI 1932273752

Title

Dentist

Phone

(715) 483-5026

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, and the practitioner matching its NPPES authorized official.

• Amin Syed Uddin, DDS

  • Dentist
  • Saint Croix Falls, WI
  • NPI 1932273752
  NPD (past) Authorized official

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": "1770131401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 704",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540240704",
            "telephone_number": "715-483-5026",
            "fax_number": "715-483-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S WASHINGTON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540244417",
            "telephone_number": "715-483-5026",
            "fax_number": "715-483-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX FAMILY DENTISTRY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "AMIN",
        "authorized_official_middle_name": "SYED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "715-483-5026",
        "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": []
}

• Smiles on St. Croix
• Spirit of the Heart Home Care LLC
• Sports & Family Chiropractic SCF LLC
• St Croix Chiropractic and Wellness, LLC
• St Croix Falls Eye Associates Inc.
• St. Croix Falls Coh, LLC
• St. Croix Falls Pharmacy LLC
• St. Croix Orthopaedics, P.a.
• St. Croix Regional Medical Center
• St. Croix Regional Medical Center

• Dental Clinic/Center in Saint Croix Falls, WI
• Providers in Saint Croix Falls, 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.