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KAUKAUNA FAMILY DENTISTRY, S.C.
NPI 1073604013
Dentist - General Practice in Kaukauna, WI

Active since September 27, 2006
233 DODGE ST, KAUKAUNA, WI 54130(920) 766-9542(920) 759-4439 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaukauna Family Dentistry, S.c. NPPES

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

KAUKAUNA FAMILY DENTISTRY, S.C. (NPI 1073604013) is a healthcare organization registered as a general practice in Kaukauna, Wisconsin and active in the NPI registry since September 2006. The organization lists William J. Farrow, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1073604013
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKAUKAUNA FAMILY DENTISTRY, S.C.
Location Address233 DODGE STKaukauna, WI 54130-2500
Mailing Address233 Dodge StKaukauna, WI 54130-2500 · (920) 766-9542 · Fax (920) 759-4439
Phone(920) 766-9542
Fax(920) 759-4439
Organization SubpartNo
Authorized OfficialWilliam J. FarrowOwner/president · (920) 766-9542
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1073604013 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 · 5001987-015
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.
233 DODGE ST, Kaukauna, WI 54130
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Other Identifiers 1

Medicaid38377600WI

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

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.

CURTIS R. HEBDON, D.D.S., S.C.
Clinic/Center (Dental)
233 DODGE ST
KAUKAUNA, WI 54130
Outagamie County (920) 766-9542
DR. WILLIAM J. FARROW D.D.S.
Dentist (General Practice)
233 DODGE ST
KAUKAUNA, WI 54130
Outagamie County (920) 766-9542

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 Kaukauna Family Dentistry, S.C.'s NPI number?

The NPI number for Kaukauna Family Dentistry, S.C. is 1073604013. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Kaukauna Family Dentistry, S.C. located?

Kaukauna Family Dentistry, S.C. is located at 233 Dodge St, Kaukauna, WI 54130. The listed phone number is (920) 766-9542.

What is Kaukauna Family Dentistry, S.C.'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 Kaukauna Family Dentistry, S.C. was last updated on June 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.