ELITE SMILES DENTAL LTD NPI 1154781870

NPI Information

NPI: 1154781870
Provider Name: ELITE SMILES DENTAL, LTD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
315 W WISCONSIN AVE
APPLETON, WI
ZIP 54911
Phone: (920) 731-2211
Get Directions

ELITE SMILES DENTAL, LTD is a general practice dentist in Appleton, 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. ELITE SMILES DENTAL, LTD NPI is 1154781870. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 W WISCONSIN AVE
APPLETON, WI
ZIP 54911-355
Phone: (920) 731-2211
Fax: (920) 733-7176

The provider's authorized official is Alissa Edwards .
The authorized official title is Dentist and has the following contact phone number (920) 731-2211.

The enumeration date for this NPI number is 2/24/2016 and was last updated on 2/24/2016.

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
1	1223G0001X	Dentist	General Practice	6542-15	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6542-15	OTHER	WISCONSIN	LICENSE NUMBER
2	1578874426	OTHER	WISCONSIN	NPI TYPE 1

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »