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Active NPI 1225783376 Individual Practitioner Male Practitioner

Dr. Roger Chu , DDS

Dentist - General Practice • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Roger Chu, DDS is a registered healthcare professional specializing in Dentist - General Practice in Appleton, WI. Practice services are available at 5337 W GRANDE MARKET DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5337 W Grande Market Dr

Appleton, WI 549138442

Telephone 9207317445
Fax 9208822946
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
86 Specialists

Practicing in Appleton, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 6001128-15

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License PA DS043239

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100220588 (WI)

Secondary Practice Locations

1111 E End Blvd

Wilkes Barre, PA 187110030

Phone: 5708243521

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Vicki Aho

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1003449596
Ashley Schider , RDH

Dental Hygienist

NPI 1033566518

Registered Dental Hygienist

Karen Rodman , RDH

Dental Hygienist

NPI 1053075481

Registered Dental Hygienist

Meghan Keyes , APNP

Nurse Practitioner - Adult Health

NPI 1073917738

Advanced Practice Nurse Prescriber

Maria Cripe , APNP

Nurse Practitioner - Family

NPI 1134895261

Advanced Practice Nurse Prescriber

Tracie Moya , RDH

Dental Hygienist

NPI 1154039345

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 20, 2023

Registered at 5337 W GRANDE MARKET DR, APPLETON, WI 549138442 (Tel: 9207317445)

📍
Updated Business Mailing Address April 20, 2023

Registered at 5337 W GRANDE MARKET DR, APPLETON, WI 549138442 (Tel: 9207317445)

NPI Profile Active February 17, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2022

Registered at 1111 E END BLVD, WILKES BARRE, PA 187110030 (Tel: 5708243521)

📍
Updated Business Mailing Address February 17, 2022

Registered at 3743 BIRNEY AVE FL 1, MOOSIC, PA 185071511

👤
Provider Name / Credentials Updated February 17, 2022

Recorded as ROGER CHU, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2022

Dentist (License #DS043239 in PA)

🟢
Initial NPI Registration & Enumeration February 17, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225783376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2022
Last Update: April 20, 2023
Sole Proprietor: Yes

Mailing Address

5337 W Grande Market Dr

Appleton, WI 549138442

Phone: 9207317445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.