ALLENTON FAMILY DENTISTRY NPI 1831760784

NPI Information

  • NPI: 1831760784
  • Provider Name: ALLENTON FAMILY DENTISTRY
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • CLIA Number: 52D0985445
  • Address: 608 CHURCH ST
    ALLENTON, WI
    ZIP 53002
  • Phone: (262) 629-5955

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NPI Details

ALLENTON FAMILY DENTISTRY is a dental clinic center in Allenton, WI. ALLENTON FAMILY DENTISTRY NPI is 1831760784. The provider is registered as an organization entity type.

The provider's business location address is:

608 CHURCH ST
ALLENTON, WI
ZIP 53002-014
Phone: (262) 629-5955

The provider's authorized official is Kolver Matos .
The authorized official title is President and has the following contact phone number (815) 762-5655.

The CLIA number assigned to this NPI record is 52D0985445 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 7/1/2021.

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 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

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