OrganizationActive
Mishicot Dental
NPI 1407006869 · General Practice Dentistry · Mishicot, WI
Mishicot Dental is a General Practice Dentistry organization in Mishicot, WI (NPI 1407006869).
Provider details
- NPI number
- 1407006869
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jason Thiel, President / Dentist(920) 755-2336
- License
- 5096-015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 N Park Ln
Mishicot, WI 54228-9537
Phone: (920) 755-2336
Street-level locationGet directions
Mailing address
105 N Park Ln
Mishicot, WI 54228-9537
Registry dates
- Enumerated
- 2008-09-23
- Last updated
- 2008-09-23
Frequently asked questions
- What is Mishicot Dental's NPI number?
- Mishicot Dental's National Provider Identifier (NPI) is 1407006869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mishicot Dental?
- Mishicot Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mishicot Dental located?
- Mishicot Dental's practice location on file with NPPES is 105 N Park Ln, Mishicot, WI 54228-9537.
- What is Mishicot Dental's phone number?
- The practice phone number listed in the NPPES registry for Mishicot Dental is (920) 755-2336.
- Who is the authorized official for Mishicot Dental?
- The authorized official listed on Mishicot Dental's NPPES record is Jason Thiel, President / Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mishicot Dental's NPI active?
- Yes — Mishicot Dental's NPI (1407006869) is active in the NPPES registry as of the last update on 2008-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.