DE PERE SMILES S.C.
NPI 1225568983
Dentist - General Practice in De Pere, WI

Active since June 15, 2017
277 N 9TH ST, DE PERE, WI 54115(920) 336-6594(920) 336-7132 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About De Pere Smiles S.c. NPPES

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

DE PERE SMILES S.C. (NPI 1225568983) is a healthcare organization registered as a general practice in De Pere, Wisconsin and active in the NPI registry since June 2017. The organization lists Christopher James Peterson, President/owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1225568983
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDE PERE SMILES ACQUISITION COMPANY S.C.
Location Address277 N 9TH STDe Pere, WI 54115-1548
Mailing Address277 N 9th StDe Pere, WI 54115-1548 · (920) 336-6594 · Fax (920) 336-7132
Fax(920) 336-7132
Organization SubpartNo
Authorized OfficialChristopher James PetersonPresident/owner/dentist · (920) 336-6594
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1225568983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 1001273-15
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.
277 N 9TH ST, De Pere, WI 54115

Other Names 1

Doing Business AsDe Pere Smiles S.c.

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 3

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

Dentist (General Practice)
277 N 9TH ST
DE PERE, WI 54115
Dentist
277 N 9TH ST
DE PERE, WI 54115
Registered Nurse (Lactation Consultant)
277 N 9TH ST
DE PERE, WI 54115

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 De Pere Smiles Acquisition Company S.C.'s NPI number?

The NPI number for De Pere Smiles Acquisition Company S.C. is 1225568983. It was assigned to this organization in the NPPES registry on June 15, 2017. The provider is doing business as De Pere Smiles S.C..

Where is De Pere Smiles Acquisition Company S.C. located?

De Pere Smiles Acquisition Company S.C. is located at 277 N 9th St, De Pere, WI 54115. The listed phone number is (920) 336-6594.

What is De Pere Smiles Acquisition Company S.C.'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 De Pere Smiles Acquisition Company S.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.