WAUSAU SMILES LLC NPI 1245646082

NPI Information

  • NPI: 1245646082
  • Provider Name: WAUSAU SMILES, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 705 S 24TH AVE
    WAUSAU, WI
    ZIP 54401
  • Phone: (715) 842-3933

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NPI Details

WAUSAU SMILES, LLC is a durable medical equipment medical supplies in Wausau, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WAUSAU SMILES, LLC NPI is 1245646082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 S 24TH AVE
WAUSAU, WI
ZIP 54401-242
Phone: (715) 842-3933

The provider's authorized official is Aaron J Bushong .
The authorized official title is Owner and has the following contact phone number (715) 573-3868.

The enumeration date for this NPI number is 7/1/2014 and was last updated on 11/12/2024.

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
1122300000XDentist6524-15WISCONSINNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11871813329OTHERWISCONSININDIVIDUAL NPI

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: 3/30/2025

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