NORTHERN DOOR DENTAL SC
NPI 1013038207
Dentist - General Practice in Sister Bay, WI

Q: What is Northern Door Dental Sc's NPI number?

The NPI number for Northern Door Dental Sc is 1013038207. It was assigned to this organization in the NPPES registry on April 3, 2007.

Q: What is Northern Door Dental Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 03, 2007

10589 S HIGHLAND RD STE 4, SISTER BAY, WI 54234(920) 854-5200(920) 854-7601 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northern Door Dental Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN DOOR DENTAL SC (NPI 1013038207) is a healthcare organization registered as a general practice in Sister Bay, Wisconsin and active in the NPI registry since April 2007. The organization lists Thomas Malcolm Mayhew, Dentist Practice President Owner, as its authorized official.

NPPES Registry Identity

NPI1013038207

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameNORTHERN DOOR DENTAL SC

Location Address10589 S HIGHLAND RD STE 4Sister Bay, WI 54234

Mailing Address10589 S Highland Rd Ste 4Sister Bay, WI 54234 · (920) 854-5200 · Fax (920) 854-7601

Phone(920) 854-5200

Fax(920) 854-7601

Organization SubpartNo

Authorized OfficialThomas Malcolm MayhewDentist Practice President Owner · (920) 854-5200

Enumeration DateApril 3, 2007

Last NPPES UpdateJuly 30, 2008

✔ NPI 1013038207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 5002020015

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

10589 S HIGHLAND RD STE 4, Sister Bay, WI 54234

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Other Identifiers 1

Medicaid33368800WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Door Dental Sc's NPI number?

The NPI number for Northern Door Dental Sc is 1013038207. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Northern Door Dental Sc located?

Northern Door Dental Sc is located at 10589 S Highland Rd Ste 4, Sister Bay, WI 54234. The listed phone number is (920) 854-5200.

What is Northern Door Dental Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Northern Door Dental Sc was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.