THE COUNTRY DENTIST
NPI 1750747739
Clinic/Center - Dental in Darlington, WI

Active since January 07, 2016
340 MAIN ST, DARLINGTON, WI 53530(608) 776-2620(608) 776-3988 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About THE COUNTRY DENTIST

This page provides the complete NPI Profile along with additional information for The Country Dentist, a provider established in Darlington, Wisconsin operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1750747739 assigned on January 2016. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as The Country Dentist. The authorized official of this NPI record is Mr. Andrew T Fabian (Manager)

NPI
1750747739 Verify this NPI
Provider Legal Name
WISCONSIN DENTAL PARTNERS, LLC
Other Organization Name
THE COUNTRY DENTIST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
340 MAIN ST DARLINGTON, WI 53530
Location Phone
(608) 776-2620
Location Fax
(608) 776-3988
Mailing Address
6907 UNIVERSITY AVE SUITE 405 MIDDLETON, WI 53562
Mailing Phone
(608) 712-6320
Mailing Fax
(608) 338-0681
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2016
Last Update Date
01-07-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ANDREW T FABIAN

Authorized Official Title
MANAGER
Authorized Official Phone
(608) 712-6320

Reviews for THE COUNTRY DENTIST

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
340 MAIN ST
DARLINGTON, WI 53530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750747739, enumerated as an "organization" on January 07, 2016.

The provider is located at 340 MAIN ST DARLINGTON, WI 53530 and the phone number is (608) 776-2620.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.