CAMPBELLSPORT FAMILY DENTISTRY, LLC
NPI 1073368254
Clinic/Center - Dental in Campbellsport, WI

Active since April 20, 2024
130 N FOND DU LAC AVE, CAMPBELLSPORT, WI 53010(920) 533-8512 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Campbellsport Family Dentistry, Llc NPPES

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

CAMPBELLSPORT FAMILY DENTISTRY, LLC (NPI 1073368254), doing business as Campbellsport Family Dentistry, is a healthcare organization registered as a dental in Campbellsport, Wisconsin and active in the NPI registry since April 2024. The organization lists Daniel Stevens, Owner, as its authorized official.

NPPES Registry Identity

NPI1073368254
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCAMPBELLSPORT FAMILY DENTISTRY, LLC
Location Address130 N FOND DU LAC AVECampbellsport, WI 53010-2787
Mailing Address130 N Fond Du Lac AveCampbellsport, WI 53010-2787
Organization SubpartNo
Authorized OfficialDaniel StevensOwner · (608) 957-4663
Enumeration DateApril 20, 2024
NPPES CertifiedApril 20, 2024
NPI 1073368254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
130 N FOND DU LAC AVE, Campbellsport, WI 53010

Other Names 1

Doing Business AsCampbellsport Family Dentistry

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
130 N FOND DU LAC AVE
CAMPBELLSPORT, WI 53010
Dentist
130 N FOND DU LAC AVE
CAMPBELLSPORT, WI 53010

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 Campbellsport Family Dentistry, LLC's NPI number?

The NPI number for Campbellsport Family Dentistry, LLC is 1073368254. It was assigned to this organization in the NPPES registry on April 20, 2024. The provider is doing business as Campbellsport Family Dentistry.

Where is Campbellsport Family Dentistry, LLC located?

Campbellsport Family Dentistry, LLC is located at 130 N Fond Du Lac Ave, Campbellsport, WI 53010. The listed phone number is (920) 533-8512.

What is Campbellsport Family Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Campbellsport Family Dentistry, LLC was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.