NPIMap

Paul J Ganshert, D.D.S.

Individual provider Active NPI General Practice Dentistry · Prairie Du Sac, WI

NPI 1124007729 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1124007729
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5128-015 (WI)
Practice address
1250 Prairie St
Prairie Du Sac, WI 53578-2041
Phone
(608) 643-8505
Fax
(608) 643-8097
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5128-015WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Dental Assocs. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pganshert891762@direct.emplifyhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5128-015 WI Yes

Addresses

Primary practice location

1250 Prairie St
Prairie Du Sac, WI 53578-2041

Mailing address

1250 Prairie St
Prairie Du Sac, WI 53578-2041
Phone (608) 643-8505

Other providers in Prairie Du Sac, WI

All providers in Prairie Du Sac, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.