OrganizationActive
Douglas D Podoll DDS Sc
NPI 1063563674 · Orthodontics and Dentofacial Orthopedics Dentistry · Baldwin, WI
Provider details
- NPI number
- 1063563674
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Douglas Podoll, President(715) 684-5858
- License
- 3237 (WI)
Specialties & taxonomies
Dental Providers
Practice location
1460 10th Ave
Baldwin, WI 54002
Phone: (715) 684-5858
Fax: (715) 684-5968
Approximate (ZIP-level) locationGet directions
Mailing address
1460 10th Ave
Baldwin, WI 54002
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.