Tannleger As Oral and Maxillofacial Surgery SC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

TANNLEGER AS ORAL AND MAXILLOFACIAL SURGERY SC

Practice address

2359 Murphy Woods Rd
Beloit, WI 53511-2343

Phone

(608) 362-9391

Fax

(608) 362-8020

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ronald L Guttu, DDS

Title

Owner

Phone

(608) 362-9391

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford Victor Eneix, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Beloit, WI
  • NPI 1427060003
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1942523436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 MURPHY WOODS RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112343",
            "telephone_number": "608-362-9391",
            "fax_number": "608-362-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 MURPHY WOODS RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112343",
            "telephone_number": "608-362-9391",
            "fax_number": "608-362-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNLEGER AS ORAL AND MAXILLOFACIAL SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "GUTTU",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-362-9391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supportive Hands Healing Minds, LLC
• Ruth C. Taggart, NP
• Hajera Fatima Taher, M.D.
• Janna Sue Tamminga, PT
• Glenn Anthony Tan, M.D.
• Maria E Taveras, MD
• Taylor Family Group Inc
• Jennifer Hope Taylor, NP
• Christel Tecarro, MD.
• Robert G. Teehan, M.D.

• Oral and Maxillofacial Pathology Dentistry in Beloit, WI
• Providers in Beloit, WI by specialty
• Oral and Maxillofacial Pathology Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.