DR. KENNETH DONALD NEIDHART D.D.S.
NPI 1053400945
Dentist - Periodontics in Madison, WI

Q: What is Kenneth Neidhart's NPI number?

The NPI number for Kenneth Neidhart is 1053400945. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Kenneth Neidhart's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Neidhart was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 11, 2006

2705 MARSHALL CT, MADISON, WI 53705(608) 233-9167(608) 233-9342 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth Donald Neidhart D.d.s. NPPES

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

DR. KENNETH DONALD NEIDHART D.D.S. (NPI 1053400945) is an individual periodontics provider in Madison, Wisconsin, licensed in Wisconsin (5001291-015) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053400945

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. KENNETH DONALD NEIDHARTCredential: D.D.S.

Location Address2705 MARSHALL CTMadison, WI 53705-2255

Mailing Address2705 Marshall CourtMadison, WI 53705 · (608) 592-2088

Phone(608) 233-9167

Fax(608) 233-9342

Sole ProprietorYes

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053400945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in WI · 5001291-015

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2705 MARSHALL CT, Madison, WI 53705

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Other Identifiers 1

Medicare UPINT62849WI

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 Kenneth Neidhart's NPI number?

The NPI number for Kenneth Neidhart is 1053400945. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Kenneth Neidhart located?

Kenneth Neidhart practices at 2705 Marshall Ct, Madison, WI 53705. The listed phone number is (608) 233-9167.

What is Kenneth Neidhart's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Kenneth Neidhart was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.