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

Dr. Stuart Jay Rupp, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1386164754

Dr. Stuart Jay Rupp, DMD is an Oral Surgery in LA Crosse, Wisconsin. Qualified in 2017, 9 years ago. Practices with Gundersen Clinic Ltd, a 427-clinician group and accepts Medicare assignment. Licensed in Idaho and Wisconsin.

Years since qualifying
9
Licensed in
ID, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 1001852 (WI)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 5334 (ID)

Record details

NPI number1386164754
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 26, 2017
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Gundersen Clinic Ltd — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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