IndividualActive
Douglas Podoll, DDS
NPI 1003952607 · Orthodontics and Dentofacial Orthopedics Dentistry · Amery, WI
Provider details
- NPI number
- 1003952607
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 0003237 (WI)
Practice location
404 Wisconsin Ave
Amery, WI 54001
Phone: (715) 268-8109
Fax: (715) 268-4620
Mailing address
404 Wisconsin Ave
Amery, WI 54001
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.