MDC NORTH FONDY SC
NPI 1225470842
Dentist - General Practice in North Fond Du Lac, WI

Active since July 24, 2013
825 PROSPECT AVE, NORTH FOND DU LAC, WI 54937(920) 923-0310 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mdc North Fondy Sc NPPES

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

MDC NORTH FONDY SC (NPI 1225470842) is a healthcare organization registered as a general practice in North Fond Du Lac, Wisconsin and active in the NPI registry since July 2013. The organization lists William Mauthe, Owner, as its authorized official.

NPPES Registry Identity

NPI1225470842
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMDC NORTH FONDY SC
Location Address825 PROSPECT AVENorth Fond Du Lac, WI 54937-1365
Mailing Address101 Camelot Dr, Suite 3Fond Du Lac, WI 54935-8048 · (920) 948-6407
Organization SubpartNo
Authorized OfficialWilliam MautheOwner · (920) 948-6407
Enumeration DateJuly 24, 2013
NPI 1225470842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
825 PROSPECT AVE, North Fond Du Lac, WI 54937

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Health Maintenance Organization
825 PROSPECT AVE
NORTH FOND DU LAC, WI 54937
Dentist (General Practice)
825 PROSPECT AVE
NORTH FOND DU LAC, WI 54937
Dentist (General Practice)
825 PROSPECT AVE
NORTH FOND DU LAC, WI 54937

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 North Fondy Sc's NPI number?

The NPI number for Mdc North Fondy Sc is 1225470842. It was assigned to this organization in the NPPES registry on July 24, 2013.

Where is Mdc North Fondy Sc located?

Mdc North Fondy Sc is located at 825 Prospect Ave, North Fond Du Lac, WI 54937. The listed phone number is (920) 923-0310.

What is Mdc North Fondy Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mdc North Fondy Sc was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.