Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bad River Band of Lake Superior Tribe of Chippewa Indians Wis

Organization Dentist · NPI 1699701375

Bad River Band of Lake Superior Tribe of Chippewa Indians Wis provides Dentist services in Ashland, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
4

Practice location Address checks out

53585 Nokomis Rd
Ashland, WI 54806-4272 Not confirmed with CMS for 10 years — call before visiting
Phone: (715) 682-7133
Fax: (715) 685-7857
Show map & directions

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

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (WI)
Dentist Taxonomy 122300000X (WI)
Public Health or Welfare Agency Taxonomy 251K00000X (WI)
Clinic/Center Taxonomy 261Q00000X (WI)

Record details

NPI number1699701375
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBad River Band of Lake Superior Tribe of Chippewa Indians
Authorized official Debra Tutor — Clinic Administrator · (715) 682-7133
Other names Bad River Health And Wellness Center
NPI enumeratedJune 24, 2006
Last updated in NPPESApril 6, 2016
Mailing address53585 Nokomis Road, Ashland, WI 54806-4272

Other providers in Ashland