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LA CROSSE PEDIATRIC DENTISTRY LLC
NPI 1831550813
Clinic/Center in La Crosse, WI

Active since March 17, 2016
2 COPELAND AVE STE 203, LA CROSSE, WI 54603(608) 782-4054(608) 782-2198 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About La Crosse Pediatric Dentistry Llc NPPES

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

LA CROSSE PEDIATRIC DENTISTRY LLC (NPI 1831550813) is a healthcare organization registered as a clinic/center in La Crosse, Wisconsin and active in the NPI registry since March 2016. The organization lists Jonathan M Hanks, Onwer/dds, as its authorized official.

NPPES Registry Identity

NPI1831550813
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLA CROSSE PEDIATRIC DENTISTRY LLC
Location Address2 COPELAND AVE STE 203La Crosse, WI 54603-3419
Mailing Address2 Copeland Ave Ste 203La Crosse, WI 54603-3419 · (608) 782-4054 · Fax (608) 782-2198
Phone(608) 782-4054
Fax(608) 782-2198
Organization SubpartNo
Authorized OfficialJonathan M HanksOnwer/dds · (608) 782-4054
Enumeration DateMarch 17, 2016
✔ NPI 1831550813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WI · 1001174-15
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 COPELAND AVE STE 203, La Crosse, WI 54603
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Other Providers at the Same Location NPPES 3

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

JESSICA M ERICKSON RDH
Dental Hygienist
2 COPELAND AVE STE 203
LA CROSSE, WI 54603
La Crosse County (608) 782-4054
PETER FRANDSEN PEDIATRIC DENTISTRY, LLC
Clinic/Center (Dental)
2 COPELAND AVE STE 203
LA CROSSE, WI 54603
La Crosse County (608) 782-4054
JESSICA K MARSHALL R.D.H
Dental Hygienist
2 COPELAND AVE STE 203
LA CROSSE, WI 54603
La Crosse County (608) 782-4054

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 La Crosse Pediatric Dentistry LLC's NPI number?

The NPI number for La Crosse Pediatric Dentistry LLC is 1831550813. It was assigned to this organization in the NPPES registry on March 17, 2016.

Where is La Crosse Pediatric Dentistry LLC located?

La Crosse Pediatric Dentistry LLC is located at 2 Copeland Ave Ste 203, La Crosse, WI 54603. The listed phone number is (608) 782-4054.

What is La Crosse Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for La Crosse Pediatric Dentistry LLC was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.