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CHERRY TREE DENTAL OF MADISON LLC NPI 1952640732


NPI Information

NPI: 1952640732
Provider Name: CHERRY TREE DENTAL OF MADISON, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8025 EXCELSIOR DR
MADISON, WI
ZIP 53717
Phone: (608) 833-2212
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CHERRY TREE DENTAL OF MADISON, LLC is a general practice dentist in Madison, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHERRY TREE DENTAL OF MADISON, LLC NPI is 1952640732. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8025 EXCELSIOR DR
MADISON, WI
ZIP 53717-900
Phone: (608) 833-2212
Fax: (608) 833-2215

The provider's authorized official is Jack Young .
The authorized official title is President and has the following contact phone number (608) 833-2212.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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