NPIMap

Organization Active NPI

Juntunen Dental LLC

  • General Practice Dentistry
  • Depere, WI
National Provider Identifier
1821173006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JUNTUNEN DENTAL LLC
Practice address
115 S 8TH St
Depere, WI 54115-1399
Phone
(920) 336-9002
Fax
(920) 336-8304
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peter Jason Juntunen, DDSNPI 1912001926
Title
Doctor Dentist
Phone
(920) 336-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

115 S 8TH St
Depere, WI 54115-1399

Mailing address

115 S 8TH St
Depere, WI 54115-1399
Phone (920) 336-9002

National Provider Directory

National Provider Directory

Locations

115 S 8th St
De Pere, WI 54115
Phone (920) 336-9002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821173006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S 8TH ST",
            "city": "DEPERE",
            "state": "WI",
            "postal_code": "541151399",
            "telephone_number": "920-336-9002",
            "fax_number": "920-336-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 8TH ST",
            "city": "DEPERE",
            "state": "WI",
            "postal_code": "541151399",
            "telephone_number": "920-336-9002",
            "fax_number": "920-336-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNTUNEN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUNTUNEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DOCTOR DENTIST",
        "authorized_official_telephone_number": "920-336-9002",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depere, WI

Sources for this page

  • 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.