Peyton Molling
Individual provider Active NPI Dentist · Oconto, WI
NPI 1326836784 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1326836784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- PAR-0000677843 (WI)
- Practice address
- 155 Memorial Dr
Oconto, WI 54153-2053 - Phone
- (920) 516-7107
- NPI assigned
- Apr 28, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| PAR-0000677843 | WI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | PAR-0000677843 | WI | Yes |
Addresses
Primary practice location
155 Memorial Dr
Oconto, WI 54153-2053
Mailing address
155 Memorial Dr
Oconto, WI 54153-2053
Other providers in Oconto, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. 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.