Healthcare Provider Details

I. General information

NPI: 1144131301
Provider Name (Legal Business Name): SMILES IN MOTION 2 SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MAIN ST
LA CROSSE WI
54601-4468
US

IV. Provider business mailing address

3902 OAKWOOD HILLS PKWY STE 1
EAU CLAIRE WI
54701-7781
US

V. Phone/Fax

Practice location:
  • Phone: 715-723-2000
  • Fax:
Mailing address:
  • Phone: 720-469-3909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. AMANDA SPITZ
Title or Position: CCO
Credential: DDS
Phone: 715-226-0533