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MI DENTISTA LLC
NPI 1891192415
Dentist - General Practice in Madison, WI

Active since November 25, 2014
4801 COTTAGE GROVE RD STE D, MADISON, WI 53716(608) 658-4600 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mi Dentista Llc NPPES

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

MI DENTISTA LLC (NPI 1891192415) is a healthcare organization registered as a general practice in Madison, Wisconsin and active in the NPI registry since November 2014. The organization lists Matthew Kutz, Owner, as its authorized official.

NPPES Registry Identity

NPI1891192415
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMI DENTISTA LLC
Location Address4801 COTTAGE GROVE RD STE DMadison, WI 53716-1349
Mailing Address4801 Cottage Grove Rd Ste DMadison, WI 53716-1349 · (608) 658-4600
Phone(608) 658-4600
Organization SubpartNo
Authorized OfficialMatthew KutzOwner · (608) 658-4600
Enumeration DateNovember 25, 2014
✔ NPI 1891192415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5729-015
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.
4801 COTTAGE GROVE RD STE D, Madison, WI 53716
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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

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 Mi Dentista LLC's NPI number?

The NPI number for Mi Dentista LLC is 1891192415. It was assigned to this organization in the NPPES registry on November 25, 2014.

Where is Mi Dentista LLC located?

Mi Dentista LLC is located at 4801 Cottage Grove Rd Ste D, Madison, WI 53716. The listed phone number is (608) 658-4600.

What is Mi Dentista 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 Mi Dentista LLC was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.