POTH FAMILY DENTAL, S.C.
NPI 1376747493
Clinic/Center - Dental in Fredonia, WI

Q: What is Poth Family Dental, S.C.'s NPI number?

The NPI number for Poth Family Dental, S.C. is 1376747493. It was assigned to this organization in the NPPES registry on June 13, 2007.

Q: What is Poth Family Dental, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since June 13, 2007

100 MARTIN DR, FREDONIA, WI 53021(262) 692-2461(262) 692-9889 Get Directions Write a Review

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

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About Poth Family Dental, S.c. NPPES

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

POTH FAMILY DENTAL, S.C. (NPI 1376747493) is a healthcare organization registered as a dental in Fredonia, Wisconsin and active in the NPI registry since June 2007. The organization lists John Everett Poth, President, as its authorized official.

NPPES Registry Identity

NPI1376747493

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePOTH FAMILY DENTAL, S.C.

Location Address100 MARTIN DRFredonia, WI 53021-9455

Mailing Address100 Martin DrFredonia, WI 53021-9455 · (262) 692-2461 · Fax (262) 692-9889

Phone(262) 692-2461

Fax(262) 692-9889

Organization SubpartNo

Authorized OfficialJohn Everett PothPresident · (262) 692-2461

Enumeration DateJune 13, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376747493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in WI · 4245-015

100 MARTIN DR, Fredonia, WI 53021

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Other Providers at the Same Location NPPES 2

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

DR. KARLA MARIE POTH DDS

Dentist (General Practice)

100 MARTIN DR
FREDONIA, WI 53021

Ozaukee County (262) 692-2461

DR. JOHN EVERETT POTH DDS

Dentist (General Practice)

100 MARTIN DR
FREDONIA, WI 53021

Ozaukee County (262) 692-2461

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 Poth Family Dental, S.C.'s NPI number?

The NPI number for Poth Family Dental, S.C. is 1376747493. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Poth Family Dental, S.C. located?

Poth Family Dental, S.C. is located at 100 Martin Dr, Fredonia, WI 53021. The listed phone number is (262) 692-2461.

What is Poth Family Dental, S.C.'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 Poth Family Dental, S.C. 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.