GREAT DAY DENTAL OF MONONA NPI 1992217053

NPI Information

NPI: 1992217053
Provider Name: GREAT DAY DENTAL OF MONONA

Doing Business As: GREAT DAY DENTAL OF EAST MADISON

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2010 EASTWOOD DR STE 206
MADISON, WI
ZIP 53704
Phone: (608) 241-1579
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GREAT DAY DENTAL OF MONONA is a dental clinic center in Madison, WI. GREAT DAY DENTAL OF MONONA NPI is 1992217053. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Day Dental Of East Madison.

The provider's business location address is:

2010 EASTWOOD DR STE 206
MADISON, WI
ZIP 53704-387
Phone: (608) 241-1579
Fax: (608) 241-2061

The provider's authorized official is Jessica Kiecker .
The authorized official title is Owner and has the following contact phone number (608) 241-1579.

The enumeration date for this NPI number is 10/30/2017 and was last updated on 10/30/2017.

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
1	261QD0000X	Clinic/Center	Dental	50015111	WISCONSIN	No
2	261QD0000X	Clinic/Center	Dental	6337	WISCONSIN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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