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EAU CLAIRE PERIODONTICS, L.L.C.
NPI 1578832853
Dentist - Periodontics in Eau Claire, WI

Active since December 15, 2011
2125 HEIGHTS DR STE 2C, EAU CLAIRE, WI 54701(715) 832-5396(715) 832-3009 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eau Claire Periodontics, L.l.c. NPPES

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

EAU CLAIRE PERIODONTICS, L.L.C. (NPI 1578832853) is a healthcare organization registered as a periodontics in Eau Claire, Wisconsin and active in the NPI registry since December 2011. The organization lists Jason D. Johnson, Chief Manager/periodontist, as its authorized official.

NPPES Registry Identity

NPI1578832853
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEAU CLAIRE PERIODONTICS, L.L.C.
Location Address2125 HEIGHTS DR STE 2CEau Claire, WI 54701-6146
Mailing Address2125 Heights Dr Ste 2cEau Claire, WI 54701-6146 · (715) 832-5396 · Fax (715) 832-3009
Phone(715) 832-5396
Fax(715) 832-3009
Organization SubpartNo
Authorized OfficialJason D. JohnsonChief Manager/periodontist · (715) 832-5396
Enumeration DateDecember 15, 2011
✔ NPI 1578832853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WI · 6810-015
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2125 HEIGHTS DR STE 2C, Eau Claire, WI 54701
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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.

WILLIAM A WOEHRMANN DDS SC
Dentist
2125 HEIGHTS DR STE 2C
EAU CLAIRE, WI 54701
Eau Claire County (715) 832-5396
JANUS RX LLC
Pharmacy (Long Term Care Pharmacy)
2125 HEIGHTS DR STE 2C
EAU CLAIRE, WI 54701
Eau Claire County (334) 819-4500

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 Eau Claire Periodontics, L.L.C.'s NPI number?

The NPI number for Eau Claire Periodontics, L.L.C. is 1578832853. It was assigned to this organization in the NPPES registry on December 15, 2011.

Where is Eau Claire Periodontics, L.L.C. located?

Eau Claire Periodontics, L.L.C. is located at 2125 Heights Dr Ste 2C, Eau Claire, WI 54701. The listed phone number is (715) 832-5396.

What is Eau Claire Periodontics, L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Eau Claire Periodontics, L.L.C. was last updated on December 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.