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

Fox River Periodontics SC

Organization Periodontics · NPI 1134339500

Fox River Periodontics SC provides Periodontics in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

2557B E Calumet St
Appleton, WI 54915
Phone: (920) 733-7770
Fax: (920) 733-7798
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 5864-015 (WI)

Record details

NPI number1134339500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Cooke — President · (920) 733-7770
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2557b East Calumet St, Appleton, WI 54915

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