Dells Dental

Organization Active NPI General Practice Dentistry · Wisconsin Dells, WI

NPI 1720153802 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1720153802
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
5198-015 (WI)
Legal business name
DELLS DENTAL
Practice address
245 W Munroe Ave
Wisconsin Dells, WI 53965-9656
Phone
(608) 254-2345
Fax
(608) 254-6460
NPI assigned
Nov 22, 2006
Organization subpart
No

Authorized official

Name
Dr. David L Clemens, DDS
Title
Co-Owner
Phone
(608) 254-2345

Practitioners 3

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

National Provider Directory

Locations

245 W Munroe Ave
Wisconsin Dells, WI 53965
Phone (608) 254-2345

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 5198-015 WI Yes

Addresses

Primary practice location

245 W Munroe Ave
Wisconsin Dells, WI 53965-9656

Mailing address

245 W Munroe Ave
Wisconsin Dells, WI 53965-9656
Phone (608) 254-2345

Other providers in Wisconsin Dells, WI

All providers in Wisconsin Dells, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.