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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRAND LINE DENTISTRY
NPI 1144132101
Clinic/Center - Dental in Evansville, WI

Active since September 22, 2026
39 W CHURCH ST, EVANSVILLE, WI 53536(608) 882-4860(608) 882-4862 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Grand Line Dentistry NPPES

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

GRAND LINE DENTISTRY (NPI 1144132101) is a healthcare organization registered as a dental in Evansville, Wisconsin and active in the NPI registry since September 2026. The organization lists Moah Kong Xiong, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1144132101
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRAND LINE DENTISTRY
Location Address39 W CHURCH STEvansville, WI 53536-1329
Mailing Address842 Twin Pines DrMadison, WI 53704-8560 · (715) 297-6506
Phone(608) 882-4860
Fax(608) 882-4862
Organization SubpartNo
Authorized OfficialMoah Kong XiongOwner Dentist · (715) 297-6506
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1144132101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
39 W CHURCH ST, Evansville, WI 53536
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Other Providers at the Same Location NPPES

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

DR. MELANIE E. WHITE D.D.S.
Dentist (General Practice)
39 W CHURCH ST
EVANSVILLE, WI 53536
Rock County (608) 882-4860

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 Grand Line Dentistry's NPI number?

The NPI number for Grand Line Dentistry is 1144132101. It was assigned to this organization in the NPPES registry on September 22, 2026.

Where is Grand Line Dentistry located?

Grand Line Dentistry is located at 39 W Church St, Evansville, WI 53536. The listed phone number is (608) 882-4860.

What is Grand Line Dentistry'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 Grand Line Dentistry was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.