CESA #11 RURAL HEALTH DENTAL CLINIC
NPI 1730390840
Clinic/Center - Dental in Menomonie, WI

Active since May 24, 2007
3375 KOTHLOW AVE., SUITE 40, MENOMONIE, WI 54751(715) 235-1573(715) 235-2081 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cesa #11 Rural Health Dental Clinic NPPES

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

CESA #11 RURAL HEALTH DENTAL CLINIC (NPI 1730390840) is a healthcare organization registered as a dental in Menomonie, Wisconsin and active in the NPI registry since May 2007. The organization lists Sharon Haugerud, Director, as its authorized official.

NPPES Registry Identity

NPI1730390840
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCESA #11 RURAL HEALTH DENTAL CLINIC
Location Address3375 KOTHLOW AVE., SUITE 40Menomonie, WI 54751
Mailing Address225 Ostermann DrTurtle Lake, WI 54889-9191 · (715) 986-2020 · Fax (715) 986-2041
Fax(715) 235-2081
Organization SubpartNo
Authorized OfficialSharon HaugerudDirector · (715) 986-2020
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 6, 2008
NPI 1730390840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3375 KOTHLOW AVE., Menomonie, WI 54751

Other Identifiers 1

Medicaid38389000WI

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.

Dental Hygienist
3375 KOTHLOW AVE., SUITE 40
MENOMONIE, WI 54751
Dentist (General Practice)
3375 KOTHLOW AVE., SUITE 40
MENOMONIE, WI 54751

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 Cesa #11 Rural Health Dental Clinic's NPI number?

The NPI number for Cesa #11 Rural Health Dental Clinic is 1730390840. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Cesa #11 Rural Health Dental Clinic located?

Cesa #11 Rural Health Dental Clinic is located at 3375 Kothlow Ave. Suite 40, Menomonie, WI 54751. The listed phone number is (715) 235-1573.

What is Cesa #11 Rural Health Dental Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cesa #11 Rural Health Dental Clinic was last updated on August 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.