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BEAVER DAM DENTAL LLC
NPI 1699985051
Dentist - General Practice in Beaver Dam, WI

Active since May 23, 2007
302 N SPRING ST, BEAVER DAM, WI 53916(920) 887-8421(920) 887-8431 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beaver Dam Dental Llc NPPES

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

BEAVER DAM DENTAL LLC (NPI 1699985051) is a healthcare organization registered as a general practice in Beaver Dam, Wisconsin and active in the NPI registry since May 2007. The organization lists Genevieve E Poppe, Partner, as its authorized official.

NPPES Registry Identity

NPI1699985051
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEAVER DAM DENTAL LLC
Location Address302 N SPRING STBeaver Dam, WI 53916-2044
Mailing AddressPo Box 436Beaver Dam, WI 53916-0436 · (920) 887-8421 · Fax (920) 887-8431
Phone(920) 887-8421
Fax(920) 887-8431
Organization SubpartYesParent: Stepping Stone Dental Partners
Authorized OfficialGenevieve E PoppePartner · (608) 358-3370
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 31, 2013
✔ NPI 1699985051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WI · 3480✔ Licensed in WI · 1384G✔ Licensed in WI · 6749-015
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.
302 N SPRING ST, Beaver Dam, WI 53916
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Other Identifiers 3

Medicaid33555900WI
Medicaid1871881169WI
Medicaid33477900WI

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. EWA KALINOWSKA DMD
Dentist
302 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (773) 450-7214
DR. DAVID J. STECKER D.D.S.
Dentist (General Practice)
302 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 887-8421
DR. ZACHERY HUYBRECHT DDS
Dentist (General Practice)
302 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 887-1200
DR. EDWIN R. SCHULER D.D.S.
Dentist (General Practice)
302 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 887-8421

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 Beaver Dam Dental LLC's NPI number?

The NPI number for Beaver Dam Dental LLC is 1699985051. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Beaver Dam Dental LLC located?

Beaver Dam Dental LLC is located at 302 N Spring St, Beaver Dam, WI 53916. The listed phone number is (920) 887-8421.

What is Beaver Dam 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 Beaver Dam Dental LLC was last updated on January 31, 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.