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

Fox River Periodontics SC

Organization Periodontics · NPI 1134339500

Fox River Periodontics SC is a Periodontics in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

2557B E Calumet St
Appleton, WI 54915
Phone: (920) 733-7770
Fax: (920) 733-7798
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 5864-015 (WI)

Record details

NPI number1134339500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Cooke — President · (920) 733-7770
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2557b East Calumet St, Appleton, WI 54915

Other providers in Appleton