Advanced Family Dentistry, S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADVANCED FAMILY DENTISTRY, S.C.

Practice address

123 Hospital Dr
Suite 201
Watertown, WI 53098-3331

Phone

(920) 261-0588

Fax

(920) 261-0640

NPI assigned

Jun 1, 2009

Last updated

Jan 11, 2012By 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

Karen Sherry

Title

Financial Coordinator

Phone

(920) 261-0588

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jessica Wertz, DDS

  • Dentist
  • Watertown, WI
  • NPI 1104568575
  NPD (past)

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1861628133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983331",
            "telephone_number": "920-261-0588",
            "fax_number": "920-261-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983331",
            "telephone_number": "920-261-0588",
            "fax_number": "920-261-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY DENTISTRY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "920-261-0588"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33741400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tahmina Aafreen, M.D.
• Ablelight Inc.
• Jeannie Kaye Adams, CPNP
• Kathy R. Adkins, PTA
• Theresa Aftyka, DDS
• Elizabeth Sharon Albanese, D.P.M.
• Rebecca M Altshull, RD
• Julie Patrice Amundson, MPT
• John R Anslinger, OD

• General Practice Dentistry in Watertown, WI
• Providers in Watertown, 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 Jan 11, 2012; 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.