FORT FAMILY DENTAL
NPI 1386161420
Clinic/Center - Dental in Fort Atkinson, WI

Active since August 29, 2017
715 SHERMAN AVE E, FORT ATKINSON, WI 53538(763) 360-0841 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Apr 30, 2018, Aug 29, 2017 (3 updates tracked since 2017).

About Fort Family Dental NPPES

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

FORT FAMILY DENTAL (NPI 1386161420) is a healthcare organization registered as a dental in Fort Atkinson, Wisconsin and active in the NPI registry since August 2017. The organization lists Sara Podoll, Dentist, as its authorized official.

NPPES Registry Identity

NPI1386161420
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePODOLL DENTAL, LLC
Location Address715 SHERMAN AVE EFort Atkinson, WI 53538-1992
Mailing Address715 Sherman Ave EFort Atkinson, WI 53538-1992 · (920) 563-4322
Organization SubpartNo
Authorized OfficialSara PodollDentist · (920) 563-4322
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1386161420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
715 SHERMAN AVE E, Fort Atkinson, WI 53538

Other Names 1

Doing Business AsFort Family Dental

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
715 SHERMAN AVE E
FORT ATKINSON, WI 53538
Dentist (General Practice)
715 SHERMAN AVE E
FORT ATKINSON, WI 53538
Non-emergency Medical Transport (VAN)
715 SHERMAN AVE E
FORT ATKINSON, WI 53538
Dentist (General Practice)
715 SHERMAN AVE E
FORT ATKINSON, WI 53538

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 Podoll Dental, LLC's NPI number?

The NPI number for Podoll Dental, LLC is 1386161420. It was assigned to this organization in the NPPES registry on August 29, 2017. The provider is doing business as Fort Family Dental.

Where is Podoll Dental, LLC located?

Podoll Dental, LLC is located at 715 Sherman Ave E, Fort Atkinson, WI 53538. The listed phone number is (763) 360-0841.

What is Podoll 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 Podoll Dental, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.