Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295853000 Individual Practitioner Female Practitioner

Dr. Elisa Jungeun Choi , DDS

Dentist - General Practice • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Elisa Choi, DDS is a registered healthcare professional specializing in Dentist - General Practice in Appleton, WI. Practice services are available at 3030 N BALLARD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3030 N Ballard Rd

Appleton, WI 549118707

Telephone 9209548085
Associated Practice Facility / Clinic
🏢 Wisconsin Dental Group, S.c. Facility NPI 1154459881

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 6340-015

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019025791

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1005537 (IL)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1679733612

Doctor of Dental Surgery

David Wygle

Dentist - General Practice

NPI 1689730137
Dianne Smart

Dentist - General Practice

NPI 1821155060
Dr. Kavitha Paidipati , DMD

Dentist - General Practice

NPI 1922403633

Doctor of Dental Medicine

NPI 1962796060

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2010

Registered at 3030 N BALLARD RD, APPLETON, WI 549118707 (Tel: 9209548085)

📍
Updated Business Mailing Address June 04, 2010

Registered at 4916 N TURNBERRY DR, APPLETON, WI 549138680 (Tel: 9202023921)

👤
Provider Name / Credentials Updated June 04, 2010

Recorded as ELISA CHOI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2010

Dentist (License #6340-015 in WI)

🟢
Initial NPI Registration & Enumeration March 27, 2007

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: 1295853000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: June 04, 2010
Sole Proprietor: No

Mailing Address

4916 N Turnberry Dr

Appleton, WI 549138680

Phone: 9202023921

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.