ANTIGO DENTAL CLINIC L.L.C.
NPI 1417004177
Dentist - General Practice in Antigo, WI

Q: What is Antigo Dental Clinic L.L.C.'s NPI number?

The NPI number for Antigo Dental Clinic L.L.C. is 1417004177. It was assigned to this organization in the NPPES registry on January 4, 2007.

Q: What is Antigo Dental Clinic L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 04, 2007

707 6TH AVE, ANTIGO, WI 54409(715) 627-4391(715) 627-4392 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Antigo Dental Clinic L.l.c. NPPES

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

ANTIGO DENTAL CLINIC L.L.C. (NPI 1417004177) is a healthcare organization registered as a general practice in Antigo, Wisconsin and active in the NPI registry since January 2007. The organization lists Meghan K O'brien, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1417004177

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameANTIGO DENTAL CLINIC L.L.C.

Location Address707 6TH AVEAntigo, WI 54409

Mailing Address707 6th AveAntigo, WI 54409 · (715) 627-4391 · Fax (715) 627-4392

Phone(715) 627-4391

Fax(715) 627-4392

Organization SubpartNo

Authorized OfficialMeghan K O'brienPractice Owner · (715) 627-4391

Enumeration DateJanuary 4, 2007

Last NPPES UpdateDecember 14, 2016

✔ NPI 1417004177 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 · 5001261-015

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.

707 6TH AVE, Antigo, WI 54409

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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

Other Providers at the Same Location NPPES

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

MEGHAN KEELY OBRIEN DDS

Dentist (General Practice)

707 6TH AVE
ANTIGO, WI 54409

Langlade County (715) 627-4391

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 Antigo Dental Clinic L.L.C.'s NPI number?

The NPI number for Antigo Dental Clinic L.L.C. is 1417004177. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Antigo Dental Clinic L.L.C. located?

Antigo Dental Clinic L.L.C. is located at 707 6th Ave, Antigo, WI 54409. The listed phone number is (715) 627-4391.

What is Antigo Dental Clinic L.L.C.'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 Antigo Dental Clinic L.L.C. was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.