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MDC MANITOWOC SC
NPI 1598176547
Dentist - General Practice in Manitowoc, WI

Active since May 13, 2014
33 E WALDO BLVD, MANITOWOC, WI 54220(920) 682-0115 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mdc Manitowoc Sc NPPES

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

MDC MANITOWOC SC (NPI 1598176547) is a healthcare organization registered as a general practice in Manitowoc, Wisconsin and active in the NPI registry since May 2014. The organization lists William C Mauthe, Owner, as its authorized official.

NPPES Registry Identity

NPI1598176547
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMDC MANITOWOC SC
Location Address33 E WALDO BLVDManitowoc, WI 54220-2900
Mailing Address54 E 1st StFond Du Lac, WI 54935-4204
Phone(920) 682-0115
Organization SubpartNo
Authorized OfficialWilliam C MautheOwner · (920) 921-1244
Enumeration DateMay 13, 2014
✔ NPI 1598176547 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.
33 E WALDO BLVD, Manitowoc, WI 54220
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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 2

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

DR. KENNETH MARTIN HARTENIAN DMD
Dentist (Oral and Maxillofacial Surgery)
33 E WALDO BLVD
MANITOWOC, WI 54220
Manitowoc County (920) 684-3353
DR. KALI ROSE DISTERHOFT
Dentist
33 E WALDO BLVD
MANITOWOC, WI 54220
Manitowoc County (920) 682-0115

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 Manitowoc Sc's NPI number?

The NPI number for Mdc Manitowoc Sc is 1598176547. It was assigned to this organization in the NPPES registry on May 13, 2014.

Where is Mdc Manitowoc Sc located?

Mdc Manitowoc Sc is located at 33 E Waldo Blvd, Manitowoc, WI 54220. The listed phone number is (920) 682-0115.

What is Mdc Manitowoc Sc'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 Manitowoc Sc was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.