EVERBREEZE DENTAL LLC NPI 1164355061

NPI Information

  • NPI: 1164355061
  • Provider Name: EVERBREEZE DENTAL LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 4333 NAKOMA RD
    MADISON, WI
    ZIP 53711
  • Phone: (712) 297-4560

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NPI Details

EVERBREEZE DENTAL LLC is a dental clinic center in Madison, WI. EVERBREEZE DENTAL LLC NPI is 1164355061. The provider is registered as an organization entity type.

The provider's business location address is:

4333 NAKOMA RD
MADISON, WI
ZIP 53711-700
Phone: (712) 297-4560

The provider's authorized official is Samuel Kim .
The authorized official title is Dentist and has the following contact phone number (712) 297-4560.

The enumeration date for this NPI number is 6/8/2026 and was last updated on 6/8/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

NPI Synchronization or Removal

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