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FALL CREEK FAMILY DENTAL, LLC
NPI 1861256620
Dentist - General Practice in Fall Creek, WI

Active since February 12, 2024
122 S STATE ST, FALL CREEK, WI 54742(715) 877-2113 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fall Creek Family Dental, Llc NPPES

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

FALL CREEK FAMILY DENTAL, LLC (NPI 1861256620) is a healthcare organization registered as a general practice in Fall Creek, Wisconsin and active in the NPI registry since February 2024. The organization lists Genie Kuble, Npi Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1861256620
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFALL CREEK FAMILY DENTAL, LLC
Location Address122 S STATE STFall Creek, WI 54742-9701
Mailing Address122 S State StFall Creek, WI 54742-9701
Phone(715) 877-2113
Organization SubpartNo
Authorized OfficialGenie KubleNpi Authorized Official · (920) 450-0157
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1861256620 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.
122 S STATE ST, Fall Creek, WI 54742
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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

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

MATTHEW THOMAS ANDERSON DDS
Dentist (General Practice)
122 S STATE ST
FALL CREEK, WI 54742
Eau Claire County (715) 514-9600

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 Fall Creek Family Dental, LLC's NPI number?

The NPI number for Fall Creek Family Dental, LLC is 1861256620. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Fall Creek Family Dental, LLC located?

Fall Creek Family Dental, LLC is located at 122 S State St, Fall Creek, WI 54742. The listed phone number is (715) 877-2113.

What is Fall Creek Family 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 Fall Creek Family Dental, LLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.