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

IDENTAL LLC

Active Organization

IDENTAL LLC is a Dentist organization located in MT PLEASANT, Wisconsin. NPI 1861867947 is currently active in the NPPES registry. Verify at CMS.

Dentist · MT PLEASANT, WI

Registration Details

NPI Number
1861867947
Provider Type
Organization
NPI Issued
Dec 1, 2015 (10.692060760851 yrs)
Last Updated
Dec 1, 2015

Practice Information

Address
1320 S GREEN BAY RD
MT PLEASANT, WI, 534064406
Browse WI providers · Browse ZIP 53406
Phone
8475611424
Primary Specialty
Dentist
122300000X
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.