Applewhite Dental Wisconsin, P.C.

Organization Active NPI General Practice Dentistry · Cottage Grove, WI

NPI 1235625823 · NPPES record last updated Jul 29, 2019

Key facts

NPI
1235625823
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
APPLEWHITE DENTAL WISCONSIN, P.C.
Practice address
226 W Cottage Grove Rd
Cottage Grove, WI 53527-9620
Phone
(608) 839-4554
Fax
(608) 839-5260
NPI assigned
Jul 6, 2018
Organization subpart
Yes
Parent organization (as reported)
APPLEWHITE DENTAL WISCONSIN, P.C.

Authorized official

Name
Emmy Montes
Title
Cbo Supervisor
Phone
(563) 582-1448

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Applewhite Dental Wisconsin PC (9 organizations share this tax ID)
Part of
Applewhite Dental Wisconsin PC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
122300000X
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

226 W Cottage Grove Rd
Cottage Grove, WI 53527-9620

Mailing address

40 Main St Ste 103
Dubuque, IA 52001-7641
Phone (563) 582-1448

Other names

  • Excellence in Dentistry CG Doing business as

Other providers in Cottage Grove, WI

All providers in Cottage Grove, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.