EBY FAMILY DENTAL OF JEFFERSON NPI 1881307882

NPI Information

  • NPI: 1881307882
  • Provider Name: EBY FAMILY DENTAL OF JEFFERSON
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1491 S MAIN ST
    JEFFERSON, WI
    ZIP 53549
  • Phone: (920) 563-2928

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NPI Details

EBY FAMILY DENTAL OF JEFFERSON is a dental clinic center in Jefferson, WI. EBY FAMILY DENTAL OF JEFFERSON NPI is 1881307882. The provider is registered as an organization entity type.

The provider's business location address is:

1491 S MAIN ST
JEFFERSON, WI
ZIP 53549-931
Phone: (920) 563-2928
Fax: (920) 897-6081

The provider's authorized official is Cassandra L Rendon .
The authorized official title is Insurance Coordinator and has the following contact phone number (920) 563-2928.

The enumeration date for this NPI number is 1/4/2023 and was last updated on 1/11/2023.

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

NPI Synchronization or Removal

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