Organization Active NPI

Joseph and Joseph Dental LLC

  • General Practice Dentistry
  • Plymouth, WI
National Provider Identifier
1942320817
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOSEPH AND JOSEPH DENTAL LLC
Practice address
435 E Mill St
Plymouth, WI 53073-1850
Phone
(920) 893-5131
Fax
(920) 893-5914
NPI assigned
Apr 2, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sherry Joseph, DDSNPI 1154475259
Title
Dentist Owner
Phone
(920) 893-5131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X WI Primary

Addresses

Primary practice location

435 E Mill St
Plymouth, WI 53073-1850

Mailing address

515 E Mill St
Plymouth, WI 53073-1824
Phone (920) 893-5131

National Provider Directory

National Provider Directory

Locations

435 E Mill St
Plymouth, WI 53073
Phone (920) 893-5131

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942320817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E MILL ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731824",
            "telephone_number": "920-893-5131",
            "fax_number": "920-893-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MILL ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731850",
            "telephone_number": "920-893-5131",
            "fax_number": "920-893-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH AND JOSEPH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DENTIST  OWNER",
        "authorized_official_telephone_number": "920-893-5131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.