SEUBERT FAMILY DENTISTRY, LLC
NPI 1366848509
Dentist - General Practice in Portage, WI

Active since November 17, 2014
260 W. COOK ST., PORTAGE, WI 53901(608) 742-2331(608) 742-4308 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Seubert Family Dentistry, Llc NPPES

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

SEUBERT FAMILY DENTISTRY, LLC (NPI 1366848509) is a healthcare organization registered as a general practice in Portage, Wisconsin and active in the NPI registry since November 2014. The organization lists Jan Lloyd Seubert, Dr./dentist, as its authorized official.

NPPES Registry Identity

NPI1366848509
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSEUBERT FAMILY DENTISTRY, LLC
Location Address260 W. COOK ST.Portage, WI 53901-2106
Mailing Address260 W. Cook St.Portage, WI 53901-2106 · (608) 742-2331 · Fax (608) 742-4308
Fax(608) 742-4308
Organization SubpartNo
Authorized OfficialJan Lloyd SeubertDr./dentist · (608) 742-2331
Enumeration DateNovember 17, 2014
Last NPPES UpdateNovember 18, 2014
NPI 1366848509 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 · 3967
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.

260 W. COOK ST., Portage, WI 53901

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

The NPI number assigned to this healthcare provider is 1366848509, enumerated as an "organization" on November 17, 2014.

The provider is located at 260 W. COOK ST. PORTAGE, WI 53901 and the phone number is (608) 742-2331.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.