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FAMILY DENTAL OF SOUTH SHEBOYGAN
NPI 1477993673
Dentist - General Practice in Sheboygan, WI

Active since July 02, 2013
3555 WASHINGTON AVE, SHEBOYGAN, WI 53081(920) 395-4819 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Dental Of South Sheboygan NPPES

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

FAMILY DENTAL OF SOUTH SHEBOYGAN (NPI 1477993673) is a healthcare organization registered as a general practice in Sheboygan, Wisconsin and active in the NPI registry since July 2013. The organization lists Lindsay Bearden, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1477993673
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY DENTAL OF SOUTH SHEBOYGAN
Location Address3555 WASHINGTON AVESheboygan, WI 53081
Mailing Address3555 Washington AveSheboygan, WI 53081
Phone(920) 395-4819
Organization SubpartYesParent: Quirt Family Dentistry, Sc
Authorized OfficialLindsay BeardenCredentialing · (217) 540-5100
Enumeration DateJuly 2, 2013
✔ NPI 1477993673 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.
3555 WASHINGTON AVE, Sheboygan, WI 53081
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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

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 Family Dental Of South Sheboygan's NPI number?

The NPI number for Family Dental Of South Sheboygan is 1477993673. It was assigned to this organization in the NPPES registry on July 2, 2013.

Where is Family Dental Of South Sheboygan located?

Family Dental Of South Sheboygan is located at 3555 Washington Ave, Sheboygan, WI 53081. The listed phone number is (920) 395-4819.

What is Family Dental Of South Sheboygan'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 Family Dental Of South Sheboygan was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.