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

DR. BLAIR DAVID MOLDENHAUER, DMD

Active Sole Proprietor

DR. BLAIR DAVID MOLDENHAUER, DMD is a General Dentistry healthcare provider located in SUN PRAIRIE, Wisconsin. NPI 1568786655 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SUN PRAIRIE, WI

Registration Details

NPI Number
1568786655
Provider Type
Individual
Gender
Male
NPI Issued
Mar 18, 2010 (16.422705474228 yrs)
Last Updated
Mar 18, 2010
Licenses
3331015 (WI)
3331015 (WI)
Sole Proprietor
Yes

Practice Information

Address
238 W MAIN ST
SUN PRAIRIE, WI, 535902908
Browse WI providers · Browse ZIP 53590
Phone
6083182119
Fax
6083182119
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Orthodontics

Other General Dentistry Providers in SUN PRAIRIE, WI

Name Credential NPI
DR. TANNER J. MCKENNA D.D.S. 1033111513
DR. JAMES R AMSTADT D.D.S. 1982636353
DR. THOMAS LEONARD WILHELMS DDS 1063437960
DR. PETER HILL 1578582953
DR. ROBERT EARL LIMKE DDS 1730108184
ROBERT J. ZIINO D.D.S. 1154330991
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.