| James R Sueppel, DDS | |
|
238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | |
| (608) 654-5100 | |
| (608) 654-5120 |
| Full Name | James R Sueppel |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 238 Front Street, Cashton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558357020 | NPI | - | NPPES |
| 1003913 | Medicaid | IL | |
| 07543 | Other | IA | IA STATE LICENSE # |
| 7543 | Other | IA | DELTA DENTAL (IA) |
| 0080200 | Medicaid | IA | |
| 1417959 | Other | IA | CONTROLLED SUBSTANCE# |
| 421060724 | Other | IA | BILLING TAX ID# FOR CHC |
| 990360 | Other | UNITED CONCORDIA | |
| IA0156 | Other | IA | JOHN DEERE EDI# |
| 1558357020 | Medicaid | WI | |
| 7543 | Other | IA | BC/BS OF IA-BLUE DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07543 (Iowa) | Secondary |
| 1223G0001X | Dentist - General Practice | 6171-015 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James R Sueppel, DDS P.o. Box 39, 238 Front Street Scenic Bluffs Health Center, Cashton, WI 54619 Ph: (608) 654-5100 | James R Sueppel, DDS 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 Ph: (608) 654-5100 |
Dr. Aaron Youn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Dr. William Gale Blocki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Anna Bonvallet, DDS Dentist Medicare: Medicare Enrolled Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Terri Mroch, RDH Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Hana Advincula Del Pilar, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
John Mears, Dentist Medicare: Medicare Enrolled Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Martin Tettey, DMD Dentist Medicare: Medicare Enrolled Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 |