Platteville Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PLATTEVILLE DENTAL LLC

Practice address

1270 N Water St
Platteville, WI 53818-1450

Phone

(608) 348-2393

Fax

(608) 348-5072

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Amanda Jacquinot

Title

Business Manager

Phone

(608) 852-7298

Specialties & licenses 1

Addresses

Tax ID family

Platteville Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Platteville Dental LLC

  • Dental Clinic/Center
  • Platteville, WI
  • NPI 1255573184
  NPD tax ID

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1811430085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 N WATER ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181450",
            "telephone_number": "608-348-2393",
            "fax_number": "608-348-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N WATER ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181450",
            "telephone_number": "608-348-2393",
            "fax_number": "608-348-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTEVILLE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "JACQUINOT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "608-852-7298"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Paynter
• Kristen Pease, FNP-BC
• Julie Marie Phillips, LMFT
• Physical Therapy Specialists and Consulting Services LLC
• Platteville Dental LLC
• Platteville Dental Partnership
• Platteville Family Resource Center
• Platteville Family Resource Center Inc
• Platteville Nursing and Rehab, LLC
• Platteville Podiatry, LLC

• General Practice Dentistry in Platteville, WI
• Providers in Platteville, 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 Nov 21, 2016; 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.