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FAMILIA DENTAL MADISON WEST LLC NPI 1699138297


NPI Information

NPI: 1699138297
Provider Name: FAMILIA DENTAL MADISON WEST LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
706 S GAMMON RD
MADISON, WI
ZIP 53719
Phone: (888) 988-4066
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FAMILIA DENTAL MADISON WEST LLC is a dental clinic center in Madison, WI. FAMILIA DENTAL MADISON WEST LLC NPI is 1699138297. The provider is registered as an organization entity type.

The provider's business location address is:

706 S GAMMON RD
MADISON, WI
ZIP 53719-302
Phone: (888) 988-4066
Fax: (847) 496-4850

The provider's authorized official is Brandon Alexander Taylor .
The authorized official title is Credentialing & Payer Relations Mgr and has the following contact phone number (847) 453-7396.

The enumeration date for this NPI number is 3/31/2016 and was last updated on 10/15/2021.


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
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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.