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EAST PARK DENTAL, LLC
NPI 1508598202
Dentist - General Practice in Madison, WI

Active since June 30, 2022
5100 EASTPARK BLVD, SUITE 110, MADISON, WI 53718(608) 222-8232 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Park Dental, Llc NPPES

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

EAST PARK DENTAL, LLC (NPI 1508598202) is a healthcare organization registered as a general practice in Madison, Wisconsin and active in the NPI registry since June 2022. The organization lists Karl Weaver, Dds, as its authorized official.

NPPES Registry Identity

NPI1508598202
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEAST PARK DENTAL, LLC
Location Address5100 EASTPARK BLVD, SUITE 110Madison, WI 53718
Mailing Address5100 Eastpark Blvd., Suite 110Madison, WI 53718 · (608) 222-8232 · Fax (608) 244-7442
Phone(608) 222-8232
Organization SubpartNo
Authorized OfficialKarl WeaverDds · (608) 222-8232
Enumeration DateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1508598202 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.
5100 EASTPARK BLVD, Madison, WI 53718
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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 3

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

MR. JAY PATRICH BRENDEMUEHL RDH
Dental Hygienist
5100 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 222-8232
DR. KARL DAVID WEAVER D.D.S.
Dentist (General Practice)
5100 EASTPARK BLVD, SUITE 110
MADISON, WI 53718
Dane County (608) 222-8232
EASTPARK DENTAL LLC
Dentist (General Practice)
5100 EASTPARK BLVD, SUITE 110
MADISON, WI 53718
Dane County (608) 222-8232

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 East Park Dental, LLC's NPI number?

The NPI number for East Park Dental, LLC is 1508598202. It was assigned to this organization in the NPPES registry on June 30, 2022.

Where is East Park Dental, LLC located?

East Park Dental, LLC is located at 5100 Eastpark Blvd Suite 110, Madison, WI 53718. The listed phone number is (608) 222-8232.

What is East Park Dental, 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 East Park Dental, LLC was last updated on June 30, 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.