MDC CASTLE ROCK
NPI 1124689914
Clinic/Center - Dental in Mauston, WI

Active since June 24, 2019
205 DIVISION ST, MAUSTON, WI 53948(608) 847-5572 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mdc Castle Rock NPPES

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

MDC CASTLE ROCK (NPI 1124689914), doing business as Castle Rock Dental, is a healthcare organization registered as a dental in Mauston, Wisconsin and active in the NPI registry since June 2019. The organization lists Bernard Bolka, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124689914
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMDC CASTLE ROCK
Location Address205 DIVISION STMauston, WI 53948-2109
Mailing AddressPo Box 1658Fond Du Lac, WI 54936-1658
Organization SubpartNo
Authorized OfficialBernard BolkaCfo · (920) 579-3188
Enumeration DateJune 24, 2019
NPI 1124689914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
205 DIVISION ST, Mauston, WI 53948

Other Names 1

Doing Business AsCastle Rock Dental

Other Providers at the Same Location NPPES

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

Optometrist
205 DIVISION ST
MAUSTON, WI 53948

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 Mdc Castle Rock's NPI number?

The NPI number for Mdc Castle Rock is 1124689914. It was assigned to this organization in the NPPES registry on June 24, 2019. The provider is doing business as Castle Rock Dental.

Where is Mdc Castle Rock located?

Mdc Castle Rock is located at 205 Division St, Mauston, WI 53948. The listed phone number is (608) 847-5572.

What is Mdc Castle Rock'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 Mdc Castle Rock was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.