David Janet
Individual provider Active NPI Dentist · Waunakee, WI
NPI 1225514672 · NPPES record last updated Jul 18, 2018
Key facts
- NPI
- 1225514672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1001892-15 (WI)
- Practice address
- 5898 Woodland Dr
Waunakee, WI 53597-8714 - Phone
- (608) 849-4794
- NPI assigned
- Jul 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001892-15 | WI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001892-15 | WI | Yes |
Addresses
Primary practice location
5898 Woodland Dr
Waunakee, WI 53597-8714
Mailing address
10312 S Kildare Ave
Oak Lawn, IL 60453-4804
Phone (708) 601-5666
Other providers in Waunakee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.