1. Home
  2. Directory
  3. Wisconsin
  4. Hortonville
  5. Clinic Center
  6. NPI Profile

OTTER CREEK DENTAL, LLC
NPI 1265096812
Clinic/Center - Dental in Hortonville, WI

Active since April 30, 2019
105 KELLY WAY, HORTONVILLE, WI 54944(920) 740-8706 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Otter Creek Dental, Llc NPPES

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

OTTER CREEK DENTAL, LLC (NPI 1265096812) is a healthcare organization registered as a dental in Hortonville, Wisconsin and active in the NPI registry since April 2019. The organization lists Branden Goetsch, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1265096812
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameOTTER CREEK DENTAL, LLC
Location Address105 KELLY WAYHortonville, WI 54944-8755
Mailing Address105 Kelly WayHortonville, WI 54944-8755
Phone(920) 740-8706
Organization SubpartNo
Authorized OfficialBranden GoetschOwner Dentist · (920) 740-8706
Enumeration DateApril 30, 2019
✔ NPI 1265096812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
105 KELLY WAY, Hortonville, WI 54944
Open in Google Maps ↗

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.

ANDREW BUDI D.D.S.
Dentist
105 KELLY WAY
HORTONVILLE, WI 54944
Outagamie County (920) 779-4982
DR. JARED JOHN HARDING D.D.S.
Dentist (General Practice)
105 KELLY WAY
HORTONVILLE, WI 54944
Outagamie County (608) 886-0223
DR. TAYLOR MARIE MCELWEE DDS
Dentist
105 KELLY WAY
HORTONVILLE, WI 54944
Outagamie County (920) 779-4982

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 Otter Creek Dental, LLC's NPI number?

The NPI number for Otter Creek Dental, LLC is 1265096812. It was assigned to this organization in the NPPES registry on April 30, 2019.

Where is Otter Creek Dental, LLC located?

Otter Creek Dental, LLC is located at 105 Kelly Way, Hortonville, WI 54944. The listed phone number is (920) 740-8706.

What is Otter Creek 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 Otter Creek Dental, LLC was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.