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MADISON DENTAL LLC
NPI 1417476458
Clinic/Center - Dental in Madison, WI

Active since September 11, 2017
2110 FORDEM AVE, MADISON, WI 53704(608) 244-9124 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Dental Llc NPPES

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

MADISON DENTAL LLC (NPI 1417476458) is a healthcare organization registered as a dental in Madison, Wisconsin and active in the NPI registry since September 2017. The organization lists Kelly Bares, Owner, as its authorized official.

NPPES Registry Identity

NPI1417476458
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMADISON DENTAL LLC
Location Address2110 FORDEM AVEMadison, WI 53704-4610
Mailing Address2110 Fordem AveMadison, WI 53704-4610
Phone(608) 244-9124
Organization SubpartNo
Authorized OfficialKelly BaresOwner · (309) 369-3284
Enumeration DateSeptember 11, 2017
✔ NPI 1417476458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2110 FORDEM AVE, Madison, WI 53704
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Other Providers at the Same Location NPPES 6

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

DR. STEVEN BARRY EATON D.D.S., F.A.G.D.
Dentist
2110 FORDEM AVE
MADISON, WI 53704
Dane County (608) 244-9124
JESSE EASLEY
Chiropractor
2110 FORDEM AVE
MADISON, WI 53704
Dane County (608) 244-7447
ANDREW CHARLES SCHUPP D.C
Chiropractor (Orthopedic)
2110 FORDEM AVE
MADISON, WI 53704
Dane County (608) 244-7447
DR. TIMOTHY C TURINO DC
Chiropractor
2110 FORDEM AVE
MADISON, WI 53704
Dane County (608) 244-7447
DR. PHILLIP MAXWELL HSU DC
Chiropractor
2110 FORDEM AVE
MADISON, WI 53704
Dane County (608) 244-7447
SCHUPP CHIROPRACTIC AND SPORTS INJURIES LLC
Chiropractor (Orthopedic)
2110 FORDEM AVE
MADISON, WI 53704
Dane County (608) 244-7447

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 Madison Dental LLC's NPI number?

The NPI number for Madison Dental LLC is 1417476458. It was assigned to this organization in the NPPES registry on September 11, 2017.

Where is Madison Dental LLC located?

Madison Dental LLC is located at 2110 Fordem Ave, Madison, WI 53704. The listed phone number is (608) 244-9124.

What is Madison 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 Madison Dental LLC was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.