DEFOREST DENTAL SERVICES NPI 1730282344

NPI Information

  • NPI: 1730282344
  • Provider Name: DEFOREST DENTAL SERVICES
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 210 N. MAIN ST.
    STE 103
    DEFOREST, WI
    ZIP 53532
  • Phone: (608) 846-3948

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NPI Details

DEFOREST DENTAL SERVICES is a general practice dentist in Deforest, 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. DEFOREST DENTAL SERVICES NPI is 1730282344. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 N. MAIN ST.
STE 103
DEFOREST, WI
ZIP 53532
Phone: (608) 846-3948
Fax: (608) 846-7526

The provider's authorized official is Gerald Roger Corcoran .
The authorized official title is President and has the following contact phone number (608) 846-3948.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.

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
11223G0001XDentistGeneral Practice2412WIWISCONSINYes

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

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