William C Mauthe & Associates DDS SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5479 Issued in WI

Legal business name

WILLIAM C MAUTHE & ASSOCIATES DDS SC

Practice address

101 Camelot Dr
Fond Du Lac, WI 54935

Phone

(920) 921-1244

Fax

(920) 921-2192

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

William Carlton Mauthe III, DDS

Title

Dentist President

Phone

(920) 921-1244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912037896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMELOT DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-921-1244",
            "fax_number": "920-921-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMELOT DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-921-1244",
            "fax_number": "920-921-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C MAUTHE & ASSOCIATES DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAUTHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "920-921-1244",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy E Wiese, CRNA
• Margaret Wiesen
• Laureen Wiest
• Trisha Wilbert, PTA
• Terri L Wilkens, LCSW
• Becky L Williams, CTRS
• Gail Williams
• Karen Ann Williams, APNP
• Sarah Jane Williams, NP
• Shaquiorya M Williams

• General Practice Dentistry in Fond Du Lac, WI
• Providers in Fond Du Lac, 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 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.