SUN PRAIRIE FAMILY DENTISTRY LLC
NPI 1730726555
Dentist in Sun Prairie, WI

Active since December 01, 2019
180 WILBURN RD, SUN PRAIRIE, WI 53590(608) 833-2213 Get Directions Write a Review

NPPES record last updated: December 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sun Prairie Family Dentistry Llc NPPES

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

SUN PRAIRIE FAMILY DENTISTRY LLC (NPI 1730726555) is a healthcare organization registered as a dentist in Sun Prairie, Wisconsin and active in the NPI registry since December 2019. The organization lists Olga Grenova, Dir Of Accounting, as its authorized official.

NPPES Registry Identity

NPI1730726555
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUN PRAIRIE FAMILY DENTISTRY LLC
Location Address180 WILBURN RDSun Prairie, WI 53590-1476
Mailing Address8025 Excelsior DrMadison, WI 53717-1900 · (608) 833-2213
Organization SubpartNo
Authorized OfficialOlga GrenovaDir Of Accounting · (608) 833-2213
Enumeration DateDecember 1, 2019
NPI 1730726555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
180 WILBURN RD, Sun Prairie, WI 53590

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

Medical Equipment Supplier Medicare DMEPOS 17

Medicare supplier enrollment and the product categories Sun Prairie carries, from the Medicare DMEPOS supplier directory.

Sun Prairie

DMEPOS supplier · Sun Prairie, WIOperated by Sun Prairie Hometown Pharmacy LLC

Accepts Medicare assignment

Sun Prairie agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20515193
Medicare Participant SinceApril 15, 2013
Supplier Location13 North Bird StSun Prairie, WI 53590
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

Dentist
180 WILBURN RD
SUN PRAIRIE, WI 53590

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 Sun Prairie Family Dentistry LLC's NPI number?

The NPI number for Sun Prairie Family Dentistry LLC is 1730726555. It was assigned to this organization in the NPPES registry on December 1, 2019.

Where is Sun Prairie Family Dentistry LLC located?

Sun Prairie Family Dentistry LLC is located at 180 Wilburn Rd, Sun Prairie, WI 53590. The listed phone number is (608) 833-2213.

What is Sun Prairie Family Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Sun Prairie Family Dentistry LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Sun Prairie accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Sun Prairie Family Dentistry LLC was last updated on December 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.