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DR. CONSTANCE ANNIE WALLANDER D.M.D.
NPI 1063722643
Dentist in Kiel, WI

Active since October 15, 2010PECOS Enrolled
1250 TECKLA PL, KIEL, WI 53042(920) 894-2305(920) 894-3048 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2023, Sep 20, 2021 (2 updates tracked since 2021).

About Dr. Constance Annie Wallander D.m.d. NPPES

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

DR. CONSTANCE ANNIE WALLANDER D.M.D. (NPI 1063722643) is an individual dentist in Kiel, Wisconsin, licensed in Wisconsin (6626-15) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063722643
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. CONSTANCE ANNIE WALLANDERCredential: D.M.D.
Location Address1250 TECKLA PLKiel, WI 53042-9623
Mailing Address1250 Teckla PlKiel, WI 53042-9623 · (920) 894-2305 · Fax (920) 894-3048
Phone(920) 894-2305
Fax(920) 894-3048
Sole ProprietorNo
Enumeration DateOctober 15, 2010
Last NPPES UpdateMay 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1063722643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6626-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1250 TECKLA PL, Kiel, WI 53042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Constance Annie Wallander D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

NEW HOLSTEIN FAMILY DENTAL
Clinic/Center (Dental)
1250 TECKLA PL
KIEL, WI 53042
Manitowoc County (920) 898-4110
DR. PRACHI SHAH DMD
Dentist
1250 TECKLA PL
KIEL, WI 53042
Manitowoc County (920) 894-2305
BETWEEN THE LAKES SLEEP AND AIRWAY CENTER LLC
Dentist (General Practice)
1250 TECKLA PL
KIEL, WI 53042
Manitowoc County (920) 894-2305

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 Constance Wallander's NPI number?

The NPI number for Constance Wallander is 1063722643. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Constance Wallander located?

Constance Wallander practices at 1250 Teckla Pl, Kiel, WI 53042. The listed phone number is (920) 894-2305.

What is Constance Wallander's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Constance Wallander enrolled in Medicare?

Yes. Constance Wallander is registered in the Medicare PECOS enrollment system.

What insurance does Constance Wallander accept?

Health plans from Delta Dental of Wisconsin, Inc. list Constance Wallander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Constance Wallander was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.