1. Home
  2. Directory
  3. Wisconsin
  4. Fort Atkinson
  5. Dentist
  6. NPI Profile

201 WATER FRONT DENTAL LLC
NPI 1902912165
Dentist - General Practice in Fort Atkinson, WI

Active since August 21, 2006
201 SHERMAN AVE. W., FORT ATKINSON, WI 53538(920) 563-7323(920) 563-7612 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 201 Water Front Dental Llc NPPES

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

201 WATER FRONT DENTAL LLC (NPI 1902912165) is a healthcare organization registered as a general practice in Fort Atkinson, Wisconsin and active in the NPI registry since August 2006. The organization lists Michael A Bender, 1st Vice President, as its authorized official.

NPPES Registry Identity

NPI1902912165
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name201 WATER FRONT DENTAL LLC
Location Address201 SHERMAN AVE. W.Fort Atkinson, WI 53538
Mailing Address201 Sherman Ave. W.Fort Atkinson, WI 53538 · (920) 563-7323 · Fax (920) 563-7612
Phone(920) 563-7323
Fax(920) 563-7612
Organization SubpartNo
Authorized OfficialMichael A Bender1st Vice President · (920) 563-7323
Enumeration DateAugust 21, 2006
Last NPPES UpdateNovember 27, 2024
✔ NPI 1902912165 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.

201 SHERMAN AVE. W., Fort Atkinson, WI 53538
Open in Google Maps ↗

Other Identifiers 1

Medicaid38366000WI

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 201 Water Front Dental LLC's NPI number?

The NPI number for 201 Water Front Dental LLC is 1902912165. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is 201 Water Front Dental LLC located?

201 Water Front Dental LLC is located at 201 Sherman Ave. W., Fort Atkinson, WI 53538. The listed phone number is (920) 563-7323.

What is 201 Water Front 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 201 Water Front Dental LLC was last updated on November 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.