Maplewood Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAPLEWOOD DENTAL

Practice address

1202 County Trunk PH
Suite 300
Onalaska, WI 54650

Phone

(608) 783-7330

Fax

(608) 183-5082

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Genie Kuble

Title

Contact Officer

Phone

(920) 450-0157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1902972896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 COUNTY TRUNK PH",
            "address_2": "SUITE 300",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "54650",
            "telephone_number": "608-783-7330",
            "fax_number": "608-183-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 COUNTY TRUNK PH",
            "address_2": "SUITE 300",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "54650",
            "telephone_number": "608-783-7330",
            "fax_number": "608-183-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "KUBLE",
        "authorized_official_first_name": "GENIE",
        "authorized_official_title_or_position": "CONTACT OFFICER",
        "authorized_official_telephone_number": "920-450-0157"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Paul Ludington, D.D.S.
• Joel Luedke, MSE, ATC/L, CSCS
• Kathryn J Lynn, DO
• Daniel C Maccharles, MD
• Stephen W Maden, PT
• Tiffany Jean Marinier, D.O.
• Courtney Marie Marten, RDH, OMT
• Kelsey Ann Martin, LCSW, CSAC, ICS
• Rebecca Lynn Mattie, OTR/L
• Adam David Matz, PHARMD

• General Practice Dentistry in Onalaska, WI
• Providers in Onalaska, 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 Jun 1, 2009; 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.