Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bad River Band of Lake Superior Tribe of Chippewa Indians Wis

Organization Dentist · NPI 1699701375

Bad River Band of Lake Superior Tribe of Chippewa Indians Wis is a Dentist in Ashland, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
4

Practice location Address checks out

53585 Nokomis Rd
Ashland, WI 54806-4272
Phone: (715) 682-7133
Fax: (715) 685-7857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (WI)
Dentist Taxonomy 122300000X (WI)
Public Health or Welfare Agency Taxonomy 251K00000X (WI)
Clinic/Center Taxonomy 261Q00000X (WI)

Record details

NPI number1699701375
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBad River Band of Lake Superior Tribe of Chippewa Indians
Authorized official Debra Tutor — Clinic Administrator · (715) 682-7133
Other names Bad River Health And Wellness Center
NPI enumeratedJune 24, 2006
Last updated in NPPESApril 6, 2016
Mailing address53585 Nokomis Road, Ashland, WI 54806-4272

Other providers in Ashland