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James R Sueppel, DDS
General Practice Dentistry in Cashton, Wisconsin
NPI 1558357020

James R Sueppel is a General Practice Dentistry based in Cashton, WI and is specialized in General Practice. James R Sueppel practices in Cashton, WI and has the professional credentials of DDS. The NPI Number for James R Sueppel is 1558357020 and holds a License No. 07543 (Wisconsin).

The current practice location address for James R Sueppel is 238 Front Street, Cashton, WI and can be reached out via phone at 608-654-5100 and via fax at 608-654-5120.

Location: 238 Front Street, Cashton, WI, 54619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558357020
Provider Name
James R Sueppel
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
238 Front Street, Cashton, WI, 54619
Phone Number
608-654-5100
Fax Number
608-654-5120
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003913 05 IL
07543 01 IA IA STATE LICENSE #
7543 01 IA DELTA DENTAL (IA)
0080200 05 IA
1417959 01 IA CONTROLLED SUBSTANCE#
421060724 01 IA BILLING TAX ID# FOR CHC
990360 01 UNITED CONCORDIA
IA0156 01 IA JOHN DEERE EDI#
1558357020 05 WI
7543 01 IA BC/BS OF IA-BLUE DENTAL
institution
Provider Business Practice Location Address Details
Address
238 Front Street
City
Cashton
State
Wisconsin
Zip
54619
Phone Number
608-654-5100
Fax Number
608-654-5120
person
Provider Business Mailing Address Details
Address
238 Front Street
City
Cashton
State
Wisconsin
Zip
54619
Phone Number
608-654-5100
Fax Number
608-654-5120
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
07543 (Iowa)
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.
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