Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OSHKOSH SMILES DENTISTRY LLC
NPI 1689018848
Dentist - General Practice in Oshkosh, WI

Active since April 18, 2013
1218 WITZEL AVE, OSHKOSH, WI 54902(920) 233-6001(920) 233-9769 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oshkosh Smiles Dentistry Llc NPPES

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

OSHKOSH SMILES DENTISTRY LLC (NPI 1689018848), doing business as Hanneman Dustrude Dental, is a healthcare organization registered as a general practice in Oshkosh, Wisconsin and active in the NPI registry since April 2013. The organization lists Michael Lloyd Hanneman, Owner, as its authorized official.

NPPES Registry Identity

NPI1689018848
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOSHKOSH SMILES DENTISTRY LLC
Location Address1218 WITZEL AVEOshkosh, WI 54902-5659
Mailing Address1218 Witzel AveOshkosh, WI 54902-5659 · (920) 233-6001 · Fax (920) 233-9769
Fax(920) 233-9769
Organization SubpartNo
Authorized OfficialMichael Lloyd HannemanOwner · (920) 233-6001
Enumeration DateApril 18, 2013
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1689018848 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 · 2950
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.
1218 WITZEL AVE, Oshkosh, WI 54902

Other Names 1

Former Legal Business NameHanneman Dustrude Dental

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 5

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

Dentist (General Practice)
1218 WITZEL AVE
OSHKOSH, WI 54902
Dentist
1218 WITZEL AVE
OSHKOSH, WI 54902
Dentist (General Practice)
1218 WITZEL AVE
OSHKOSH, WI 54902
Dentist (General Practice)
1218 WITZEL AVE
OSHKOSH, WI 54902
Dentist (General Practice)
1218 WITZEL AVE
OSHKOSH, WI 54902

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 Oshkosh Smiles Dentistry LLC's NPI number?

The NPI number for Oshkosh Smiles Dentistry LLC is 1689018848. It was assigned to this organization in the NPPES registry on April 18, 2013. The provider was formerly known as Hanneman Dustrude Dental.

Where is Oshkosh Smiles Dentistry LLC located?

Oshkosh Smiles Dentistry LLC is located at 1218 Witzel Ave, Oshkosh, WI 54902. The listed phone number is (920) 233-6001.

What is Oshkosh Smiles Dentistry 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 Oshkosh Smiles Dentistry LLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.