PLATTEVILLE DENTAL LLC
NPI 1811430085
Dentist - General Practice in Platteville, WI

NPI Status: Active since November 21, 2016

Contact Information

1270 N WATER ST
PLATTEVILLE, WI
ZIP 53818
Phone: (608) 348-2393
Fax: (608) 348-5072

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 52D0667493
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 12-31-2025

About PLATTEVILLE DENTAL LLC

This page provides the complete NPI Profile along with additional information for Platteville Dental Llc, a provider established in Platteville, Wisconsin operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1811430085 assigned on November 2016. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Amanda Jacquinot (Business Manager)

NPI
1811430085
Provider Name
PLATTEVILLE DENTAL LLC
Entity Type
Organization
Location Address
1270 N WATER ST PLATTEVILLE, WI 53818
Location Phone
(608) 348-2393
Location Fax
(608) 348-5072
Mailing Address
1270 N WATER ST PLATTEVILLE, WI 53818
Mailing Phone
(608) 348-2393
Mailing Fax
(608) 348-5072
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2016
Last Update Date
11-21-2016
Code Navigator

A dentist like Platteville Dental Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMANDA JACQUINOT

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(608) 852-7298

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0667493
Facility Type
Rural Health Clinic
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
KELLY BUCHS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Platteville Dental Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811430085
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821830016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 8 + 3 + 0 + 0 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1811430085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972798148PLATTEVILLE DENTAL PARTNERSHIP
Organization
Dentist (General Practice)1270 N WATER ST
PLATTEVILLE, WI 53818
(608) 348-2393
1255573184PLATTEVILLE DENTAL LLC
Organization
Clinic/Center (Dental)1270 N WATER ST
PLATTEVILLE, WI 53818
(608) 348-2393

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811430085, enumerated in the NPI registry as an "organization" on November 21, 2016

The provider is located at 1270 N Water St Platteville, Wi 53818 and the phone number is (608) 348-2393

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider's CLIA number is 52D0667493 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 21, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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