Lake Mills Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKE MILLS FAMILY DENTAL LLC

Practice address

140 E Lake St
Lake Mills, WI 53551-1659

Phone

(920) 648-8254

Fax

(920) 648-3655

NPI assigned

Feb 11, 2016

Organization subpart

No

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

Authorized official

Name

Joseph H Boysen, D.M.D.NPI 1285075267

Title

Owner/Sole Member/Dentist

Phone

(608) 213-1667

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Joseph Hugh Boysen, D.M.D

  • Dentist
  • Verona, WI
  • NPI 1285075267
  NPD (past) Authorized official
• Richard J. Roots, DDS

  • General Practice Dentistry
  • Lake Mills, WI
  • NPI 1295726925
  NPD (past)

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1851750442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E LAKE ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511659",
            "telephone_number": "920-648-8254",
            "fax_number": "920-648-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E LAKE ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511659",
            "telephone_number": "920-648-8254",
            "fax_number": "920-648-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MILLS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "BOYSEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER/DENTIST",
        "authorized_official_telephone_number": "608-213-1667",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KW Lake Mills LLC
• Lake Mills Acupuncture and Wellness
• Lake Mills Al, LLC
• Lake Mills Area School District
• Lake Mills Emergency Medical Services Inc.
• Lake Mills Hometown Pharmacy LLC
• Elinor Kay Lancour, R.N.
• Nancy Eileen Lange, PHYSICAL THERAPIST
• Marilyn Larson, OTR
• Rebecca Diane Lauber, RN

• Dental Clinic/Center in Lake Mills, WI
• Providers in Lake Mills, 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 Feb 11, 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.