WESTSIDE DENTAL
NPI 1417330945
Dentist - General Practice in Sun Prairie, WI

Active since July 01, 2015
1460 W MAIN ST, SUN PRAIRIE, WI 53590(608) 837-4636 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Westside Dental NPPES

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

WESTSIDE DENTAL (NPI 1417330945) is a healthcare organization registered as a general practice in Sun Prairie, Wisconsin and active in the NPI registry since July 2015. The organization lists William C Mauthe, Owner, as its authorized official.

NPPES Registry Identity

NPI1417330945
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMDC SUN PRAIRIE LLC
Location Address1460 W MAIN STSun Prairie, WI 53590-1846
Mailing Address54 E 1st StFond Du Lac, WI 54935-4204 · (608) 837-4636
Organization SubpartNo
Authorized OfficialWilliam C MautheOwner · (920) 921-1244
Enumeration DateJuly 1, 2015
NPI 1417330945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1460 W MAIN ST, Sun Prairie, WI 53590

Other Names 1

Doing Business AsWestside Dental

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 5

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

Dentist (General Practice)
1460 W MAIN ST
SUN PRAIRIE, WI 53590
Counselor (Professional)
1460 W MAIN ST, SUITE 6
SUN PRAIRIE, WI 53590
Dentist (General Practice)
1460 W MAIN ST
SUN PRAIRIE, WI 53590
Social Worker
1460 W MAIN ST, SUITE 6
SUN PRAIRIE, WI 53590
Counselor (Addiction (Substance Use Disorder))
1460 W MAIN ST, SUITE 6
SUN PRAIRIE, WI 53590

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 Mdc Sun Prairie LLC's NPI number?

The NPI number for Mdc Sun Prairie LLC is 1417330945. It was assigned to this organization in the NPPES registry on July 1, 2015. The provider is doing business as Westside Dental.

Where is Mdc Sun Prairie LLC located?

Mdc Sun Prairie LLC is located at 1460 W Main St, Sun Prairie, WI 53590. The listed phone number is (608) 837-4636.

What is Mdc Sun Prairie LLC'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 Mdc Sun Prairie LLC was last updated on July 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.