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

St Croix Periodontics

Organization Periodontics · NPI 1669684726

St Croix Periodontics is a Periodontics in Hudson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

1200 Crestview Drive SUITE4
Hudson, WI 54016-9391
Phone: (715) 377-7860
Fax: (715) 377-7862
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 5100 (WI)

Record details

NPI number1669684726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Norris — President · (715) 377-7860
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1200 Crestview Drive, Suite 4, Hudson, WI 54016-9391

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