Valley Periodontics, S.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

VALLEY PERIODONTICS, S.C.

Practice address

2535 Norther Road
Appleton, WI 54914

Phone

(920) 731-3224

Fax

(920) 731-2910

NPI assigned

Dec 5, 2006

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

Dr. S. Timothy Rose, D.D.S.

Title

President

Phone

(920) 731-3224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821156241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 NORTHER ROAD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54914",
            "telephone_number": "920-731-3224",
            "fax_number": "920-731-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 NORTHER ROAD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54914",
            "telephone_number": "920-731-3224",
            "fax_number": "920-731-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PERIODONTICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-731-3224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Dermatology Clinic,S.C.
• Valley Endodontics LTD
• Valley Eye Associates
• Valley Orthopedic Clinic SC
• Valley Packaging Industries, Inc.
• Valley Side Mobility LLC
• Valley Sleep and Airway
• Valley Urologic Associates
• Valley-Bay Therapy Inc.
• Maggie J Van Abel, DNP, FNP-BC

• Periodontics in Appleton, WI
• Providers in Appleton, WI by specialty
• Periodontics 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.