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Applewhite Dental Wisconsin, P.C.

Organization Active NPI General Practice Dentistry · Monona, WI

NPI 1922652106 · NPPES record last updated Jul 29, 2019

Key facts

NPI
1922652106
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
APPLEWHITE DENTAL WISCONSIN, P.C.
Practice address
4925 Monona Dr
Monona, WI 53716-2634
Phone
(608) 222-3403
Fax
(608) 222-4043
NPI assigned
Jul 26, 2019
Organization subpart
Yes
Parent organization (as reported)
APPLEWHITE DENTAL WISCONSIN, P.C.

Authorized official

Name
Sharon L Loso
Title
Credentialing Specialist
Phone
(563) 582-1448

Corporate family (same tax ID) 8

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

Practitioners 2

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

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 SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

4925 Monona Dr
Monona, WI 53716-2634

Mailing address

40 Main St Ste 100
Dubuque, IA 52001-7654
Phone (563) 582-1448

Other names

  • Complete Family Dentistry Doing business as

Other providers in Monona, WI

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

Sources for this page

Verify at the official NPI Registry.