Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KEVIN CLYDE POTTER DDS
NPI 1891751582
Dentist in Eau Claire, WI

Active since April 22, 2006
1804 WARDEN ST, EAU CLAIRE, WI 54703(715) 834-8484 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kevin Clyde Potter Dds NPPES

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

DR. KEVIN CLYDE POTTER DDS (NPI 1891751582) is an individual dentist in Eau Claire, Wisconsin, licensed in Wisconsin (3070015) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1891751582
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN CLYDE POTTERCredential: DDS
Location Address1804 WARDEN STEau Claire, WI 54703
Mailing Address1804 Warden StEau Claire, WI 54703 · (715) 834-8484
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1891751582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WI · 3070015
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.

1804 WARDEN ST, Eau Claire, WI 54703

Other Identifiers 1

Medicaid33447500WI

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891751582, enumerated as an "individual" on April 22, 2006.

The provider is located at 1804 WARDEN ST EAU CLAIRE, WI 54703 and the phone number is (715) 834-8484.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.