LODI VALLEY GENTLE DENTAL LLP NPI 1861694929

NPI Information

  • NPI: 1861694929
  • Provider Name: LODI VALLEY GENTLE DENTAL LLP
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 216 S MAIN ST
    LODI, WI
    ZIP 53555
  • Phone: (608) 592-4398

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NPI Details

LODI VALLEY GENTLE DENTAL LLP is a dental clinic center in Lodi, WI. LODI VALLEY GENTLE DENTAL LLP NPI is 1861694929. The provider is registered as an organization entity type.

The provider's business location address is:

216 S MAIN ST
LODI, WI
ZIP 53555-121
Phone: (608) 592-4398
Fax: (608) 592-5245

The provider's authorized official is Gene Richard Sorensen .
The authorized official title is Partnerchip Co-owner and has the following contact phone number (608) 592-4398.

The enumeration date for this NPI number is 6/1/2007 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
1261QD0000XClinic/CenterDental5001592WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133561900MEDICAIDWISCONSIN

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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