1. Home
  2. Directory
  3. Wisconsin
  4. Fond Du Lac
  5. Clinic Center
  6. NPI Profile

FONDY FAMILY DENTAL
NPI 1962099101
Clinic/Center - Dental in Fond Du Lac, WI

Active since December 22, 2020
35 W SCOTT ST, FOND DU LAC, WI 54935(920) 922-2930 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fondy Family Dental NPPES

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

FONDY FAMILY DENTAL (NPI 1962099101) is a healthcare organization registered as a dental in Fond Du Lac, Wisconsin and active in the NPI registry since December 2020. The organization lists Chad Goeke, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1962099101
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFONDY FAMILY DENTAL
Location Address35 W SCOTT STFond Du Lac, WI 54935-2342
Mailing Address35 W Scott StFond Du Lac, WI 54935-2342 · (920) 922-2930
Phone(920) 922-2930
Organization SubpartNo
Authorized OfficialChad GoekeOwner/dentist · (815) 541-9561
Enumeration DateDecember 22, 2020
Last NPPES UpdateDecember 24, 2020
NPPES CertifiedDecember 24, 2020
✔ NPI 1962099101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
35 W SCOTT ST, Fond Du Lac, WI 54935
Open in Google Maps ↗

Other Identifiers 2

Medicaid1285780171WI
Medicaid1548619265WI

Other Providers at the Same Location NPPES 2

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

DR. THOMAS LEO KRAUS D.D.S.
Dentist (General Practice)
35 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 922-2930
HATTIE ROSE BAUER
Student in an Organized Health Care Education/Training Program
35 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 922-2930

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 Fondy Family Dental's NPI number?

The NPI number for Fondy Family Dental is 1962099101. It was assigned to this organization in the NPPES registry on December 22, 2020.

Where is Fondy Family Dental located?

Fondy Family Dental is located at 35 W Scott St, Fond Du Lac, WI 54935. The listed phone number is (920) 922-2930.

What is Fondy Family Dental'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 Fondy Family Dental was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.