ADVANCED DERMATOLOGY INC. NPI 1740303395

NPI Information

  • NPI: 1740303395
  • Provider Name: ADVANCED DERMATOLOGY, INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 52D0993510
  • Address: 6510 GRAND TETON PLZ STE 302
    MADISON, WI
    ZIP 53719
  • Phone: (608) 826-0285

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NPI Details

ADVANCED DERMATOLOGY, INC. is a specialist in Madison, WI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED DERMATOLOGY, INC. NPI is 1740303395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6510 GRAND TETON PLZ STE 302
MADISON, WI
ZIP 53719-029
Phone: (608) 826-0285
Fax: (608) 826-0281

The provider's authorized official is Harry H Sharata .
The authorized official title is Dermatologist,medical Director and has the following contact phone number (608) 826-0825.

The CLIA number assigned to this NPI record is 52D0993510 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 6/10/2020.

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
1174400000XSpecialist35716020WISCONSINYes

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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