Odana Hills Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001590-15 Issued in WI

Legal business name

ODANA HILLS DENTAL LLC

Practice address

5510 Medical Cir
Madison, WI 53719-1239

Phone

(608) 274-5510

NPI assigned

Apr 19, 2010

Organization subpart

Yes

Parent organization

STEPPING STONE DENTAL PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Ms. Genevieve E Poppe

Title

Director of Operations

Phone

(608) 358-3370

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1982920740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 MEDICAL CIR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191239",
            "telephone_number": "608-274-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 MEDICAL CIR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191239",
            "telephone_number": "608-274-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODANA HILLS DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPPING STONE DENTAL PARTNERS LLC",
        "enumeration_date": "2010-04-19",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "POPPE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "608-358-3370",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001590-15",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6297-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6574-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Oconnor, MD
• Anne Maureen Oconnor, MD
• Thomas A Oconnor, LCSW
• Octave Behavioral Michigan PC
• Ocufocus of Janesville, L.L.C.
• Monica A Odegard
• Rachele A Odegard
• Jeffrey Alan Odonnell, MD
• Mackenzie Odonnell
• Jon S Odorico, MD

• General Practice Dentistry in Madison, WI
• Providers in Madison, 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 Dec 28, 2012; 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.