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FOX RIVER DENTAL ASSOCIATES SC
NPI 1629124375
Dentist - General Practice in Berlin, WI

Active since January 26, 2007
120 COMMERCIAL ST, BERLIN, WI 54923(920) 361-3080(920) 361-3083 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fox River Dental Associates Sc NPPES

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

FOX RIVER DENTAL ASSOCIATES SC (NPI 1629124375) is a healthcare organization registered as a general practice in Berlin, Wisconsin and active in the NPI registry since January 2007. The organization lists Sharon Mattice, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629124375
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFOX RIVER DENTAL ASSOCIATES SC
Location Address120 COMMERCIAL STBerlin, WI 54923-1737
Mailing AddressPo Box 45Berlin, WI 54923-0045 · (920) 361-3080 · Fax (920) 361-3083
Phone(920) 361-3080
Fax(920) 361-3083
Organization SubpartNo
Authorized OfficialSharon MatticeOffice Manager · (920) 361-3080
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMarch 10, 2008
✔ NPI 1629124375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5000722015
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.
120 COMMERCIAL ST, Berlin, WI 54923
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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.

CHRISTOPHER ROGER LAU DC
Chiropractor
120 COMMERCIAL ST
BERLIN, WI 54923
Green Lake County (920) 361-9917
LAU CHIROPRACTIC AND WELLNESS CENTER, LLC
Chiropractor
120 COMMERCIAL ST
BERLIN, WI 54923
Green Lake County (920) 361-9917

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 Fox River Dental Associates Sc's NPI number?

The NPI number for Fox River Dental Associates Sc is 1629124375. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Fox River Dental Associates Sc located?

Fox River Dental Associates Sc is located at 120 Commercial St, Berlin, WI 54923. The listed phone number is (920) 361-3080.

What is Fox River Dental Associates 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 Fox River Dental Associates Sc was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.