PERIODONTAL & IMPLANT SPECIALISTS OF MADISON, LLC
NPI 1366614885
Dentist in Madison, WI

Q: What is Periodontal & Implant Specialists Of Madison, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 25, 2008

49 N WALBRIDGE AVE., MADISON, WI 53717(608) 833-2578(608) 203-7105 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Periodontal & Implant Specialists Of Madison, Llc NPPES

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

PERIODONTAL & IMPLANT SPECIALISTS OF MADISON, LLC (NPI 1366614885) is a healthcare organization registered as a dentist in Madison, Wisconsin and active in the NPI registry since March 2008. The organization lists Jan K Streich, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1366614885

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePERIODONTAL & IMPLANT SPECIALISTS OF MADISON, LLC

Location Address49 N WALBRIDGE AVE.Madison, WI 53717

Mailing Address2971 Chapel Valley Rd.Fitchburg, WI 57311-7240 · (608) 661-6400 · Fax (608) 661-6414

Phone(608) 833-2578

Fax(608) 203-7105

Organization SubpartYesParent: Dental Health Associates Of Madison Ltd

Authorized OfficialJan K StreichClinic Administrator · (608) 661-6412

Enumeration DateMarch 25, 2008

Last NPPES UpdateAugust 27, 2008

✔ NPI 1366614885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in WI · 3628✔ Licensed in WI · 6136✔ Licensed in WI · 6215

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

49 N WALBRIDGE AVE., Madison, WI 53717

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

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 Periodontal & Implant Specialists Of Madison, LLC's NPI number?

The NPI number for Periodontal & Implant Specialists Of Madison, LLC is 1366614885. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Periodontal & Implant Specialists Of Madison, LLC located?

Periodontal & Implant Specialists Of Madison, LLC is located at 49 N Walbridge Ave., Madison, WI 53717. The listed phone number is (608) 833-2578.

What is Periodontal & Implant Specialists Of Madison, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Periodontal & Implant Specialists Of Madison, LLC accept?

Health plans from Quartz list Periodontal & Implant Specialists Of Madison, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Periodontal & Implant Specialists Of Madison, LLC was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.