IndividualActive
Alex Thor, DDS
NPI 1093880593 · Dentist · Sun Prairie, WI
Provider details
- NPI number
- 1093880593
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5630-15 (WI)
Specialties & taxonomies
Dental Providers
Practice location
3120 Edmonton Dr
Suite #400
Sun Prairie, WI 53590-4593
Phone: (608) 837-3949
Approximate (ZIP-level) locationGet directions
Mailing address
3120 Edmonton Dr
Sun Prairie, WI 53590-4593
Registry dates
- Enumerated
- 2006-11-21
- 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.