Healthcare Provider Details

I. General information

NPI: 1093639148
Provider Name (Legal Business Name): SMILES ON ST. CROIX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 MAPLE DR
SAINT CROIX FALLS WI
54024-9128
US

IV. Provider business mailing address

2800 E ENTERPRISE AVE STE 333
APPLETON WI
54913-7889
US

V. Phone/Fax

Practice location:
  • Phone: 651-675-9037
  • Fax: 651-675-9037
Mailing address:
  • Phone: 651-675-9037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGHAN RECH
Title or Position: GENERAL DENTIST; OWNER
Credential: DMD
Phone: 651-675-9037