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ELLICKSON DENTAL LLC
NPI 1174458509
Clinic/Center - Dental in Madison, WI

Active since June 16, 2026
5510 MEDICAL CIR, MADISON, WI 53719(608) 274-5510 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ellickson Dental Llc NPPES

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

ELLICKSON DENTAL LLC (NPI 1174458509) is a healthcare organization registered as a dental in Madison, Wisconsin and active in the NPI registry since June 2026. The organization lists Luke Ellickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1174458509
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELLICKSON DENTAL LLC
Location Address5510 MEDICAL CIRMadison, WI 53719-1239
Mailing Address5510 Medical CirMadison, WI 53719-1239
Phone(608) 274-5510
Organization SubpartNo
Authorized OfficialLuke EllicksonOwner · (417) 569-6575
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1174458509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5510 MEDICAL CIR, Madison, WI 53719
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Other Providers at the Same Location NPPES 8

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

DR. NOAH JUEDES D.D.S.
Dentist
5510 MEDICAL CIR, ODANA HILLS DENTAL
MADISON, WI 53719
Dane County (608) 274-5510
DR. DANIEL J O'CONNELL D.D.S
Dentist (General Practice)
5510 MEDICAL CIR
MADISON, WI 53719
Dane County (608) 274-0028
MADISON PROSTHODONTICS LLC
Dentist
5510 MEDICAL CIR, SUITE A
MADISON, WI 53719
Dane County (608) 358-3370
DR. LISA ANNE YOUNG DDS
Dentist
5510 MEDICAL CIR
MADISON, WI 53719
Dane County (608) 274-0028
LUKE ELLICKSON DDS
Dentist (General Practice)
5510 MEDICAL CIR
MADISON, WI 53719
Dane County (608) 308-2950
ACE DENTAL LLC
Dentist (General Practice)
5510 MEDICAL CIR
MADISON, WI 53719
Dane County (608) 274-5510
DR. ROBERT LEE TITUS DDS
Dentist (General Practice)
5510 MEDICAL CIR
MADISON, WI 53719
Dane County (608) 274-0028
ODANA HILLS DENTAL LLC
Dentist (General Practice)
5510 MEDICAL CIR
MADISON, WI 53719
Dane County (608) 274-5510

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 Ellickson Dental LLC's NPI number?

The NPI number for Ellickson Dental LLC is 1174458509. It was assigned to this organization in the NPPES registry on June 16, 2026.

Where is Ellickson Dental LLC located?

Ellickson Dental LLC is located at 5510 Medical Cir, Madison, WI 53719. The listed phone number is (608) 274-5510.

What is Ellickson 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 Ellickson Dental LLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.