EBY FAMILY DENTAL OF JEFFERSON
NPI 1881307882
Clinic/Center - Dental in Jefferson, WI

Active since January 04, 2023
1491 S MAIN ST, JEFFERSON, WI 53549(920) 563-2928(920) 897-6081 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Jan 4, 2023 (2 updates tracked since 2023).

About Eby Family Dental Of Jefferson NPPES

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

EBY FAMILY DENTAL OF JEFFERSON (NPI 1881307882) is a healthcare organization registered as a dental in Jefferson, Wisconsin and active in the NPI registry since January 2023. The organization lists Cassandra L Rendon, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1881307882
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEBY FAMILY DENTAL OF JEFFERSON
Location Address1491 S MAIN STJefferson, WI 53549-2931
Mailing AddressPo Box 299Jefferson, WI 53549-0299 · (920) 563-2928 · Fax (920) 897-6081
Fax(920) 897-6081
Organization SubpartNo
Authorized OfficialCassandra L RendonInsurance Coordinator · (920) 563-2928
Enumeration DateJanuary 4, 2023
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1881307882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1491 S MAIN ST, Jefferson, WI 53549

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 Eby Family Dental Of Jefferson's NPI number?

The NPI number for Eby Family Dental Of Jefferson is 1881307882. It was assigned to this organization in the NPPES registry on January 4, 2023.

Where is Eby Family Dental Of Jefferson located?

Eby Family Dental Of Jefferson is located at 1491 S Main St, Jefferson, WI 53549. The listed phone number is (920) 563-2928.

What is Eby Family Dental Of Jefferson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Eby Family Dental Of Jefferson was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.