Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154301711 Individual Practitioner Male Practitioner

Dr. Thomas Walczyk , DDS

Dentist - General Practice • Keshena, WI

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Walczyk, DDS is a registered healthcare professional specializing in Dentist - General Practice in Keshena, WI. Practice services are available at W3275 WOLF RIVER ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

W3275 Wolf River Road
Menominee Tribal Clinic

Keshena, WI 541350970

Telephone 7157993361
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Keshena, WI

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

Practicing in Keshena, 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 3369-15

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.

Practice Associates & Co-Workers

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

37 Associated Practitioners
Kateri Swett

Social Worker

NPI 1003427931
Dr. Peter Keenan , MD

Family Medicine

NPI 1043250665

Doctor of Medicine (M.D.)

Sue Weso , APNP

Nurse Practitioner - Family

NPI 1053351676

Advanced Practice Nurse Prescriber

NPI 1063454270

Master of Science

Rachel Kielblock , MS, LPC, NCC

Counselor - Professional

NPI 1073778353

Master of Science, Licensed Professional Counselor, National Certified Counselor

Dr. Michael O'neill , MD

Psychiatry & Neurology - Psychiatry

NPI 1083655245

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2013

Registered at W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC, KESHENA, WI 541350970 (Tel: 7157993361)

📍
Updated Business Mailing Address September 10, 2013

Registered at PO BOX 970, MENOMINEE TRIBAL CLINIC, KESHENA, WI 541350970 (Tel: 7157993361)

👤
Provider Name / Credentials Updated September 10, 2013

Recorded as THOMAS WALCZYK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2013

Dentist (License #3369-15 in WI)

🟢
Initial NPI Registration & Enumeration January 19, 2006

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: 1154301711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2006
Last Update: September 10, 2013
Sole Proprietor: No

Mailing Address

Po Box 970, Menominee Tribal Clinic

Keshena, WI 541350970

Phone: 7157993361

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.