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EASTPARK DENTAL LLC
NPI 1679809974
Dentist - General Practice in Madison, WI

Active since October 22, 2009
5100 EASTPARK BLVD, SUITE 110, MADISON, WI 53718(608) 222-8232(608) 222-8340 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastpark Dental Llc NPPES

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

EASTPARK DENTAL LLC (NPI 1679809974) is a healthcare organization registered as a general practice in Madison, Wisconsin and active in the NPI registry since October 2009. The organization lists Karl Weaver, Dentist, as its authorized official.

NPPES Registry Identity

NPI1679809974
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEASTPARK DENTAL LLC
Location Address5100 EASTPARK BLVD, SUITE 110Madison, WI 53718-2149
Mailing Address5100 Eastpark Blvd, Suite 110Madison, WI 53718-2149 · (608) 222-8232 · Fax (608) 222-8340
Phone(608) 222-8232
Fax(608) 222-8340
Organization SubpartNo
Authorized OfficialKarl WeaverDentist · (608) 222-8232
Enumeration DateOctober 22, 2009
✔ NPI 1679809974 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 · 4943
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 provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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
EAST PARK DENTAL, LLC
Dentist (General Practice)
5100 EASTPARK BLVD, SUITE 110
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

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 Eastpark Dental LLC's NPI number?

The NPI number for Eastpark Dental LLC is 1679809974. It was assigned to this organization in the NPPES registry on October 22, 2009.

Where is Eastpark Dental LLC located?

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

What is Eastpark 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 Eastpark Dental LLC was last updated on October 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.