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PARK FALLS DENTAL CENTER
NPI 1063104297
Clinic/Center - Federally Qualified Health Center (FQHC) in Park Falls, WI

Active since May 25, 2023
75 SHERRY AVE, PARK FALLS, WI 54552(715) 762-0200 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2023, May 25, 2023 (2 updates tracked since 2023).

About Park Falls Dental Center NPPES

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

PARK FALLS DENTAL CENTER (NPI 1063104297) is a healthcare organization registered as a federally qualified health center (fqhc) in Park Falls, Wisconsin and active in the NPI registry since May 2023. The organization lists Kymberli Darracott, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1063104297
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAMILY HEALTH CENTER OF MARSHFIELD, INC.
Location Address75 SHERRY AVEPark Falls, WI 54552-1468
Mailing Address1307 N Saint Joseph AveMarshfield, WI 54449-1340
Phone(715) 762-0200
Organization SubpartNo
Authorized OfficialKymberli DarracottCredentialing Specialist · (262) 654-5555
Enumeration DateMay 25, 2023
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1063104297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
75 SHERRY AVE, Park Falls, WI 54552
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Other Names 1

Doing Business AsPark Falls Dental Center

Other Providers at the Same Location NPPES 7

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

TYLER H. BERKEY DMD
Dentist (General Practice)
75 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-0200
ERIC M PETERS DMD
Dentist (General Practice)
75 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-0200
TENNILLE H. PENN D.D.S.
Dentist (General Practice)
75 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-0200
DR. HEATHER NICOLE NANCY SCHAKE MOELLERS DDS
Dentist
75 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-0200
DR. DELARAM SADAT AGHILI MEHRIZI DMD
Dentist
75 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-0200
DR. GINA GEORGEANN HANSEN DMD
Dentist (General Practice)
75 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-0200
GLENN WOLFGANG HAIDINGER DMD
Dentist (General Practice)
75 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-0200

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 Family Health Center Of Marshfield, Inc.'s NPI number?

The NPI number for Family Health Center Of Marshfield, Inc. is 1063104297. It was assigned to this organization in the NPPES registry on May 25, 2023. The provider is doing business as Park Falls Dental Center.

Where is Family Health Center Of Marshfield, Inc. located?

Family Health Center Of Marshfield, Inc. is located at 75 Sherry Ave, Park Falls, WI 54552. The listed phone number is (715) 762-0200.

What is Family Health Center Of Marshfield, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Family Health Center Of Marshfield, Inc. was last updated on July 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.