Paul M Lorentson, DDS
Individual provider Active NPI General Practice Dentistry · Marathon, WI
NPI 1912295080 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1912295080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6751-15 (WI)
- Practice address
- 981 Blue Stone LN
Marathon, WI 54448-6800 - Phone
- (715) 443-2200
- NPI assigned
- Jul 11, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6751-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Family Dentistry, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6751-15 | WI | Yes |
Addresses
Primary practice location
981 Blue Stone LN
Marathon, WI 54448-6800
Mailing address
981 Blue Stone LN
Marathon, WI 54448-6800
Phone (715) 443-2200
Other providers in Marathon, WI
- Yaser Haleem
- Jeremy Hoffman
- Christine A. Hoyt
- Integrate Functional Health
- Mya Jablonski
- Derek Lund
- Marathon City School District
- Marathon Family Dentistry, LLC
- Marathon Spine & Wellness, LLC
- Marks Chiropractic, LLC
All providers in Marathon, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.