JAMES R SUEPPEL, DDS, General Practice CASHTON, WI

Contact Information

JAMES R SUEPPEL, DDS

238 FRONT STREET
SCENIC BLUFFS HEALTH CENTER
CASHTON, WI 54619

Phone: 608-654-5100
Fax: 608-654-5120
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	1223G0001X

Indicates primary specialty

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NPI Profile & details for JAMES R SUEPPEL · (Male)

NPI #	`1558357020`
Status	Active
Credentials	DDS (Doctor of Dental Surgery)
Entity	Individual
Enumeration date	09/21/2005
Last updated	03/07/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	IA License # 07543 WI License # 6171-015 IA Medicaid 0080200 IL Medicaid 1003913 WI Medicaid 1558357020 Other 990360 UNITED CONCORDIA IA Other 7543 BC/BS OF IA-BLUE DENTAL IA Other 421060724 BILLING TAX ID# FOR CHC IA Other 1417959 CONTROLLED SUBSTANCE# IA Other 7543 DELTA DENTAL (IA) IA Other 07543 IA STATE LICENSE # IA Other IA0156 JOHN DEERE EDI#
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JAMES R SUEPPEL, DDS – NPI #1558357020General Practice

Contact Information

Specialty

General Practice

NPI Profile & details for JAMES R SUEPPEL · (Male)

Reviews for JAMES R SUEPPEL

JAMES R SUEPPEL, DDS – NPI #1558357020
General Practice