GRANDVIEW DENTAL S.C.
NPI 1639202013
Dentist - General Practice in Hudson, WI

Active since March 14, 2007
900 CRESTVIEW DR, SUITE 240, HUDSON, WI 54016(715) 381-5556(715) 381-5355 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grandview Dental S.c. NPPES

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

GRANDVIEW DENTAL S.C. (NPI 1639202013) is a healthcare organization registered as a general practice in Hudson, Wisconsin and active in the NPI registry since March 2007. The organization lists Patrick Lee Wolfe, President And Dentist, as its authorized official.

NPPES Registry Identity

NPI1639202013
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRANDVIEW DENTAL S.C.
Location Address900 CRESTVIEW DR, SUITE 240Hudson, WI 54016-9517
Mailing Address900 Crestview Drive, Suite 240Hudson, WI 54016-9517 · (715) 381-5556 · Fax (715) 381-5355
Fax(715) 381-5355
Organization SubpartNo
Authorized OfficialPatrick Lee WolfePresident And Dentist · (715) 381-5556
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1639202013 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 · 4584
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.
900 CRESTVIEW DR, Hudson, WI 54016

Other Identifiers 1

Medicaid33723000WI

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

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

Dentist (General Practice)
900 CRESTVIEW DR, SUITE 240
HUDSON, WI 54016

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 Grandview Dental S.C.'s NPI number?

The NPI number for Grandview Dental S.C. is 1639202013. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Grandview Dental S.C. located?

Grandview Dental S.C. is located at 900 Crestview Dr Suite 240, Hudson, WI 54016. The listed phone number is (715) 381-5556.

What is Grandview Dental 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 Grandview Dental S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.