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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PERIODONTAL & IMPLANT SPECIALISTS OF MADISON, LLC

Active Organization

PERIODONTAL & IMPLANT SPECIALISTS OF MADISON, LLC is a Dentist organization located in MADISON, Wisconsin. NPI 1366614885 is currently active in the NPPES registry. Verify at CMS.

Dentist · MADISON, WI

Registration Details

NPI Number
1366614885
Provider Type
Organization
NPI Issued
Mar 25, 2008 (18.378172453804 yrs)
Last Updated
Aug 27, 2008
Licenses
6136 (WI)
6215 (WI)
3628 (WI)

Practice Information

Address
49 N WALBRIDGE AVE.
MADISON, WI, 53717
Browse WI providers · Browse ZIP 53717
Phone
6088332578
Fax
6082037105
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.