1. Home
  2. Directory
  3. Wisconsin
  4. Webster
  5. Dentist
  6. NPI Profile

ST. CROIX TRIBAL DENTAL
NPI 1013128685
Dentist - General Practice in Webster, WI

Active since May 25, 2007CLIA 52D0397049 · Waiver
4404 STATE ROAD 70, WEBSTER, WI 54893(715) 349-8554 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About St. Croix Tribal Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. CROIX TRIBAL DENTAL (NPI 1013128685) is a healthcare organization registered as a general practice in Webster, Wisconsin and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Amber Heinz, Health Director, as its authorized official.

NPPES Registry Identity

NPI1013128685
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameST. CROIX TRIBAL COUNCIL
Location Address4404 STATE ROAD 70Webster, WI 54893-9251
Mailing Address4404 State Road 70Webster, WI 54893-9251 · (715) 349-8554
Phone(715) 349-8554
Organization SubpartNo
Authorized OfficialAmber HeinzHealth Director · (715) 349-8554
Enumeration DateMay 25, 2007
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1013128685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
4404 STATE ROAD 70, Webster, WI 54893
Open in Google Maps ↗

Other Names 1

Doing Business AsSt. Croix Tribal Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0397049

St Croix Tribal Health Clinic · Webster, WI
Active · expires Aug 31, 2026
CLIA Number52D0397049
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJean Roedl
Laboratory Phone(715) 349-8554
Laboratory LocationSt Croix Tribal Health Clinic4404 State Road 70, Webster, WI 54893
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELODY LYNN BASSETT R.N.
Registered Nurse
4404 STATE ROAD 70
WEBSTER, WI 54893
Burnett County (715) 349-8554
MR. JOSHUA COSMO ROBINSON R.N.
Registered Nurse
4404 STATE ROAD 70
WEBSTER, WI 54893
Burnett County (715) 349-8554
DR. JODINE CATHERINE ANDERSON D.D.S.
Dentist (General Practice)
4404 STATE ROAD 70
WEBSTER, WI 54893
Burnett County (715) 349-8554
LINDA MICHELE RITCHEY RN
Registered Nurse
4404 STATE ROAD 70
WEBSTER, WI 54893
Burnett County (715) 349-8554
MR. JOSEPH WILIAM TEMBREULL DDS
Dentist
4404 STATE ROAD 70
WEBSTER, WI 54893
Burnett County (715) 349-8554
MICHELLE WHITAKER LPN
Licensed Practical Nurse
4404 STATE ROAD 70
WEBSTER, WI 54893
Burnett County (715) 349-8554
MS. MUSKADEE LINDA MONTANO MSW, APSW
Social Worker
4404 STATE ROAD 70
WEBSTER, WI 54893
Burnett County (715) 349-8554
MS. JENNIFER LYNNE BALDINI RD,CD
Dietitian, Registered
4404 STATE ROAD 70
WEBSTER, WI 54893
Burnett County (715) 349-8554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Croix Tribal Council's NPI number?

The NPI number for St. Croix Tribal Council is 1013128685. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is doing business as St. Croix Tribal Dental.

Where is St. Croix Tribal Council located?

St. Croix Tribal Council is located at 4404 State Road 70, Webster, WI 54893. The listed phone number is (715) 349-8554.

What is St. Croix Tribal Council's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does St. Croix Tribal Council hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0397049) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Croix Tribal Council was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.