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ASSOCIATED DENTISTS OF WATERTOWN
NPI 1104950336
Dentist - General Practice in Watertown, WI

Active since March 16, 2007
101 OAKRIDGE COURT, SUITE C, WATERTOWN, WI 53094(920) 261-5400(920) 261-1590 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Associated Dentists Of Watertown NPPES

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

ASSOCIATED DENTISTS OF WATERTOWN (NPI 1104950336) is a healthcare organization registered as a general practice in Watertown, Wisconsin and active in the NPI registry since March 2007. The organization lists Michael J Wertz, Owner, as its authorized official.

NPPES Registry Identity

NPI1104950336
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOAK RIDGE DENTAL CLINIC,SC
Location Address101 OAKRIDGE COURT, SUITE CWatertown, WI 53094-4100
Mailing Address101 Oakridge Court, Suite CWatertown, WI 53094-4100 · (920) 261-5400 · Fax (920) 261-1590
Phone(920) 261-5400
Fax(920) 261-1590
Organization SubpartNo
Authorized OfficialMichael J WertzOwner · (920) 261-5400
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104950336 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 · 4872
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.
101 OAKRIDGE COURT, Watertown, WI 53094
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Other Names 1

Doing Business AsAssociated Dentists Of Watertown

Other Identifiers 2

Medicaid33741400WI
Medicaid33354400WI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Oak Ridge Dental Clinic,sc's NPI number?

The NPI number for Oak Ridge Dental Clinic,sc is 1104950336. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Associated Dentists Of Watertown.

Where is Oak Ridge Dental Clinic,sc located?

Oak Ridge Dental Clinic,sc is located at 101 Oakridge Court Suite C, Watertown, WI 53094. The listed phone number is (920) 261-5400.

What is Oak Ridge Dental Clinic,sc's specialty?

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

What insurance does Oak Ridge Dental Clinic,sc accept?

Health plans from UnitedHealthcare list Oak Ridge Dental Clinic,sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oak Ridge Dental Clinic,sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.