SUMMIT SQUARE DENTAL LLC
NPI 1144764978
Clinic/Center - Dental in Waukesha, WI
About Summit Square Dental Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT SQUARE DENTAL LLC (NPI 1144764978), doing business as Summit Square Dentistry, is a healthcare organization registered as a dental in Waukesha, Wisconsin and active in the NPI registry since December 2016. The organization lists Timothy J Mathison, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
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 Summit Square Dental LLC's NPI number?
The NPI number for Summit Square Dental LLC is 1144764978. It was assigned to this organization in the NPPES registry on December 13, 2016. The provider was formerly known as Summit Square Dentistry.
Where is Summit Square Dental LLC located?
Summit Square Dental LLC is located at 3228 Turnberry Oak Dr, Waukesha, WI 53188. The listed phone number is (262) 544-0171.
What is Summit Square Dental LLC'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 Summit Square Dental LLC was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Summit Square Dental Llc · NPI 1144764978
Dental organization in Waukesha, Wisconsin. Organization record, active in the CMS NPPES registry since December 13, 2016.
## Identity
- **NPI:** 1144764978 (Entity type: Organization)
- **Enumerated:** December 13, 2016
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** Yes (part of Stepping Stone Dental Partners)
- **Authorized official:** Timothy Mathison, PRESIDENT & CEO
## Practice location
- **Address:** 3228 TURNBERRY OAK DR, Waukesha, WI 53188-3969
- **Phone:** (262) 544-0171
## Record status
- **NPPES last updated:** December 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1144764978) · Data from the CMS NPPES public registry.