PLATTEVILLE DENTAL LLC NPI 1811430085

NPI Information

  • NPI: 1811430085
  • Provider Name: PLATTEVILLE DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 52D0667493
  • Address: 1270 N WATER ST
    PLATTEVILLE, WI
    ZIP 53818
  • Phone: (608) 348-2393

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NPI Details

PLATTEVILLE DENTAL LLC is a general practice dentist in Platteville, 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. PLATTEVILLE DENTAL LLC NPI is 1811430085. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1270 N WATER ST
PLATTEVILLE, WI
ZIP 53818-450
Phone: (608) 348-2393
Fax: (608) 348-5072

The provider's authorized official is Amanda Jacquinot .
The authorized official title is Business Manager and has the following contact phone number (608) 852-7298.

The CLIA number assigned to this NPI record is 52D0667493 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.

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 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: 11/21/2025

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