Wolf River Dental LLC
Wolf River Dental LLC is a healthcare organization registered as Dental Clinic/Center in Shawano, WI, holding Type 2 (organization) NPI 1144684002 since 2016. The authorized official on file is Amanda Pondzenski, Office Mgr.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1144684002 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wolf River Dental LLC |
| Other name | <Unavail> |
| Parent organization | Wolf River Dental LLC |
| Practice address | 1040 ENGEL DR, Shawano, WI, 54166 |
| Phone | 7155263314 |
| Enumeration date | 2016-04-07 |
| Last updated in NPPES | 2026-06-02 |
Authorized official
| Name | Amanda Pondzenski |
|---|---|
| Title | Office Mgr |
| Phone | 7155263314 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Wolf River Dental LLC NPI: 1144684002 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1040 ENGEL DR, Shawano, WI, 54166
Verify this record
Cross-check NPI 1144684002 against the authoritative CMS record: view Wolf River Dental LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Wolf River Dental LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-06-02.