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DR. RONALD KEITH UNDERDALE DDS
NPI 1417026485
Dentist in Superior, WI

Active since November 06, 2006
1507 TOWER AVE, SUITE 211, SUPERIOR, WI 54880(715) 394-9450(715) 394-7116 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronald Keith Underdale Dds NPPES

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

DR. RONALD KEITH UNDERDALE DDS (NPI 1417026485) is an individual dentist in Superior, Wisconsin, licensed in Wisconsin (4001532) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1417026485
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RONALD KEITH UNDERDALECredential: DDS
Location Address1507 TOWER AVE, SUITE 211Superior, WI 54880-2554
Mailing Address1507 Tower Ave, Suite 211Superior, WI 54880-2554 · (715) 394-9450 · Fax (715) 394-7116
Phone(715) 394-9450
Fax(715) 394-7116
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417026485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 4001532
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.
1507 TOWER AVE, Superior, WI 54880
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Other Providers at the Same Location NPPES 10

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

DR. ARTHUR DAVID ZEHM DDS
Dentist
1507 TOWER AVE, STE 409
SUPERIOR, WI 54880
Douglas County (715) 392-3499
TWIN PORTS DENTAL
Dentist (General Practice)
1507 TOWER AVE, ROOM 427
SUPERIOR, WI 54880
Douglas County (715) 394-5792
DR. BRENT T JOHNSON DDS
Dentist (General Practice)
1507 TOWER AVE, SUITE 202
SUPERIOR, WI 54880
Douglas County (715) 394-3683
RIDGEWOOD RECOVERY, INC.
Community/Behavioral Health
1507 TOWER AVE, SUITE 307
SUPERIOR, WI 54880
Douglas County (715) 392-9300
MR. EDWARD C WIPSON MS LPC CSAC
Counselor (Mental Health)
1507 TOWER AVE, SUITE 210
SUPERIOR, WI 54880
Douglas County (715) 392-3331
DR. RICHARD MATHIAS JOHNSON DDS
Dentist
1507 TOWER AVE, RM 427
SUPERIOR, WI 54880
Douglas County (715) 394-5792
MISS ALISHA MARIE BLISS CSAC, LADC
Counselor (Addiction (Substance Use Disorder))
1507 TOWER AVE, SUITE 307
SUPERIOR, WI 54880
Douglas County (715) 392-9300
NEAL BURTON O'SHAUGHNESSY JR. DDS
Dentist (General Practice)
1507 TOWER AVE, SUITE 410
SUPERIOR, WI 54880
Douglas County (715) 392-6213

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 Ronald Underdale's NPI number?

The NPI number for Ronald Underdale is 1417026485. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Ronald Underdale located?

Ronald Underdale practices at 1507 Tower Ave Suite 211, Superior, WI 54880. The listed phone number is (715) 394-9450.

What is Ronald Underdale's specialty?

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

When was this NPI record last updated?

The NPPES record for Ronald Underdale was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.