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

Eau Claire Periodontics, LLC

Organization Periodontics · NPI 1578832853

Eau Claire Periodontics, LLC provides Periodontics in Eau Claire, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2125 Heights Dr Ste 2C
Eau Claire, WI 54701-6146 Not confirmed with CMS for 14 years — call before visiting
Phone: (715) 832-5396
Fax: (715) 832-3009
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 6810-015 (WI)

Record details

NPI number1578832853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Johnson — Chief Manager/Periodontist · (715) 832-5396
NPI enumeratedDecember 15, 2011
Last updated in NPPESDecember 15, 2011
Mailing address2125 Heights Dr Ste 2c, Eau Claire, WI 54701-6146

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