Madison Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MADISON DENTAL LLC

Practice address

2110 Fordem Ave
Madison, WI 53704-4610

Phone

(608) 244-9124

NPI assigned

Sep 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Bares

Title

Owner

Phone

(309) 369-3284

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Barry Eaton, D.D.S., F.A.G.D.

  • Dentist
  • Madison, WI
  • NPI 1225154198
  NPD (past)
• Timothy C Turino, DC

  • Chiropractor
  • Madison, WI
  • NPI 1780799239
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1417476458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044610",
            "telephone_number": "608-244-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "BARES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-369-3284"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison College
• Madison Cosmetic Acupuncture LLC
• Madison Counseling Center LLC.
• Madison Counseling Services
• Madison Dental Initiative
• Madison Emergency Physicians, SC
• Madison Endodontic Associates S.C
• Madison Family Dental Associates
• Madison Golf Performance, LLC
• Madison Hair Transplant Clinic SC

• Dental Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.