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SOUTHWORTH DENTAL
NPI 1699015974
Dentist - General Practice in Wausau, WI

Active since February 22, 2013
609 JACKSON ST, WAUSAU, WI 54403(715) 842-1935 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southworth Dental NPPES

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

SOUTHWORTH DENTAL (NPI 1699015974) is a healthcare organization registered as a general practice in Wausau, Wisconsin and active in the NPI registry since February 2013. The organization lists Genie Kuble, Contact Officer, as its authorized official.

NPPES Registry Identity

NPI1699015974
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHWORTH DENTAL
Location Address609 JACKSON STWausau, WI 54403-5550
Mailing Address609 Jackson StWausau, WI 54403-5550
Phone(715) 842-1935
Organization SubpartNo
Authorized OfficialGenie KubleContact Officer · (920) 450-0157
Enumeration DateFebruary 22, 2013
✔ NPI 1699015974 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.
609 JACKSON ST, Wausau, WI 54403
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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.

ROBERT H SOUTHWORTH DDS SC
Dentist (General Practice)
609 JACKSON ST
WAUSAU, WI 54403
Marathon County (715) 842-1935
DR. ROBERT HURD SOUTHWORTH D.D.S.
Dentist (General Practice)
609 JACKSON ST
WAUSAU, WI 54403
Marathon County (715) 842-1935

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 Southworth Dental's NPI number?

The NPI number for Southworth Dental is 1699015974. It was assigned to this organization in the NPPES registry on February 22, 2013.

Where is Southworth Dental located?

Southworth Dental is located at 609 Jackson St, Wausau, WI 54403. The listed phone number is (715) 842-1935.

What is Southworth Dental'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 Southworth Dental was last updated on February 22, 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.