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DELTA DENTAL OF WISCONSIN FOUNDATION INC
NPI 1134898786
Clinic/Center - Dental in Stevens Point, WI

Active since September 08, 2021
941 MICHIGAN AVE, STEVENS POINT, WI 54481(715) 204-1180(715) 204-3901 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delta Dental Of Wisconsin Foundation Inc NPPES

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

DELTA DENTAL OF WISCONSIN FOUNDATION INC (NPI 1134898786), doing business as Smile Club, is a healthcare organization registered as a dental in Stevens Point, Wisconsin and active in the NPI registry since September 2021. The organization lists Ann Boson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1134898786
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDELTA DENTAL OF WISCONSIN FOUNDATION INC
Location Address941 MICHIGAN AVEStevens Point, WI 54481
Mailing AddressPo Box 828Stevens Point, WI 54481-0828
Phone(715) 204-1180
Fax(715) 204-3901
Organization SubpartNo
Authorized OfficialAnn BosonExecutive Director · (715) 343-7209
Enumeration DateSeptember 8, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1134898786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
941 MICHIGAN AVE, Stevens Point, WI 54481
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Other Names 1

Doing Business AsSmile Club

Other Identifiers 3

Other5495-015WI · State License
Other1002005-15WI · State License
Other1002597-16WI · State License

Other Providers at the Same Location NPPES 5

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

KATHRYN KUPCZYK RDH
Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Portage County (715) 544-1180
LINDSAY KAY KLEMP RDH
Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Portage County (715) 204-1180
MELISSA JEAN GUTIERREZ RDH
Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Portage County (715) 204-1180
SHANNON KLINGFORTH RDH
Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Portage County (715) 341-4386
BOYS AND GIRLS CLUB OF PORTAGE COUNTY
Dental Hygienist
941 MICHIGAN AVE
STEVENS POINT, WI 54481
Portage County (715) 204-1180

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 Delta Dental Of Wisconsin Foundation Inc's NPI number?

The NPI number for Delta Dental Of Wisconsin Foundation Inc is 1134898786. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Smile Club.

Where is Delta Dental Of Wisconsin Foundation Inc located?

Delta Dental Of Wisconsin Foundation Inc is located at 941 Michigan Ave, Stevens Point, WI 54481. The listed phone number is (715) 204-1180.

What is Delta Dental Of Wisconsin Foundation Inc'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 Delta Dental Of Wisconsin Foundation Inc was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.