ST. CROIX DENTAL HEALTH, LLC
NPI 1164996997
Dentist - General Practice in Webster, WI

Active since January 15, 2019
26425 LAKELAND AVE S, WEBSTER, WI 54893(715) 866-4420(715) 866-4368 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2019, May 14, 2019, Jan 15, 2019 (3 updates tracked since 2019).

About St. Croix Dental Health, Llc NPPES

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

ST. CROIX DENTAL HEALTH, LLC (NPI 1164996997) is a healthcare organization registered as a general practice in Webster, Wisconsin and active in the NPI registry since January 2019. The organization lists Tanya Mortel, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164996997
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameST. CROIX DENTAL HEALTH, LLC
Location Address26425 LAKELAND AVE SWebster, WI 54893-8343
Mailing Address235 E State StSaint Croix Falls, WI 54024-4117 · (715) 483-3261 · Fax (715) 483-0507
Fax(715) 866-4368
Organization SubpartNo
Authorized OfficialTanya MortelCredentialing Coordinator · (715) 483-0429
Enumeration DateJanuary 15, 2019
Last NPPES UpdateNovember 12, 20193 updates tracked since enumeration
NPI 1164996997 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.
26425 LAKELAND AVE S, Webster, WI 54893

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 6

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

Dentist
26425 LAKELAND AVE S
WEBSTER, WI 54893
Family Medicine
26425 LAKELAND AVE S
WEBSTER, WI 54893
Nurse Practitioner (Family)
26425 LAKELAND AVE S
WEBSTER, WI 54893
Dentist (General Practice)
26425 LAKELAND AVE S
WEBSTER, WI 54893
Physical Therapist
26425 LAKELAND AVE S
WEBSTER, WI 54893
Dental Hygienist
26425 LAKELAND AVE S
WEBSTER, WI 54893

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 Dental Health, LLC's NPI number?

The NPI number for St. Croix Dental Health, LLC is 1164996997. It was assigned to this organization in the NPPES registry on January 15, 2019.

Where is St. Croix Dental Health, LLC located?

St. Croix Dental Health, LLC is located at 26425 Lakeland Ave S, Webster, WI 54893. The listed phone number is (715) 866-4420.

What is St. Croix Dental Health, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for St. Croix Dental Health, LLC was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.