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FALL CREEK DENTAL
NPI 1295955342
Dentist - General Practice in Fall Creek, WI

Active since April 30, 2007
122 STATE ST, FALL CREEK, WI 54742(715) 877-2113(715) 877-3495 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fall Creek Dental NPPES

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

FALL CREEK DENTAL (NPI 1295955342) is a healthcare organization registered as a general practice in Fall Creek, Wisconsin and active in the NPI registry since April 2007. The organization lists Tony L Pilgrim, Dentist, as its authorized official.

NPPES Registry Identity

NPI1295955342
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFALL CREEK DENTAL
Location Address122 STATE STFall Creek, WI 54742
Mailing Address122 State St, Box 66Fall Creek, WI 54742 · (715) 877-2113 · Fax (715) 877-3495
Phone(715) 877-2113
Fax(715) 877-3495
Organization SubpartNo
Authorized OfficialTony L PilgrimDentist · (715) 877-2113
Enumeration DateApril 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295955342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 3104
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.
122 STATE ST, Fall Creek, WI 54742
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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

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 Fall Creek Dental's NPI number?

The NPI number for Fall Creek Dental is 1295955342. It was assigned to this organization in the NPPES registry on April 30, 2007.

Where is Fall Creek Dental located?

Fall Creek Dental is located at 122 State St, Fall Creek, WI 54742. The listed phone number is (715) 877-2113.

What is Fall Creek Dental'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 Fall Creek Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.