JASON POTRYKUS D.D.S. NPI 1124254644

NPI Information

  • NPI: 1124254644
  • Provider Name: JASON POTRYKUS, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 213 RAILROAD ST
    EAGLE RIVER, WI
    ZIP 54521
  • Phone: (715) 479-4686

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NPI Details

Jason Potrykus, D.D.S. is a general practice dentist in Eagle River, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jason Potrykus, D.D.S. NPI is 1124254644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

213 RAILROAD ST
EAGLE RIVER, WI
ZIP 54521-139
Phone: (715) 479-4686
Fax: (715) 479-5281

The enumeration date for this NPI number is 6/10/2009 and was last updated on 6/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6388-15WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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