DOUGLAS D PODOLL DDS SC
NPI 1063563674
Dentist - Orthodontics and Dentofacial Orthopedics in Baldwin, WI

Active since January 12, 2007
1460 10TH AVE, BALDWIN, WI 54002(715) 684-5858(715) 684-5968 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas D Podoll Dds Sc NPPES

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

DOUGLAS D PODOLL DDS SC (NPI 1063563674) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Baldwin, Wisconsin and active in the NPI registry since January 2007. The organization lists Douglas D Podoll, President, as its authorized official.

NPPES Registry Identity

NPI1063563674
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameDOUGLAS D PODOLL DDS SC
Location Address1460 10TH AVEBaldwin, WI 54002
Mailing Address1460 10th Ave, Po Box 516Baldwin, WI 54002 · (715) 684-5858 · Fax (715) 684-5968
Fax(715) 684-5968
Organization SubpartNo
Authorized OfficialDouglas D PodollPresident · (715) 684-5858
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1063563674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WI · 3237
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

1460 10TH AVE, Baldwin, WI 54002

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1460 10TH AVE
BALDWIN, WI 54002
Dentist (General Practice)
1460 10TH AVE, SUITE B
BALDWIN, WI 54002

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 Douglas D Podoll Dds Sc's NPI number?

The NPI number for Douglas D Podoll Dds Sc is 1063563674. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Douglas D Podoll Dds Sc located?

Douglas D Podoll Dds Sc is located at 1460 10th Ave, Baldwin, WI 54002. The listed phone number is (715) 684-5858.

What is Douglas D Podoll Dds Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Douglas D Podoll Dds Sc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.