OrganizationActive
Advanced Dental Specialists, LLC
NPI 1215685110 · General Practice Dentistry · Appleton, WI
Provider details
- NPI number
- 1215685110
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Advanced Dental Specialists, LLC
- Authorized official
- Celia Hayes, Credentialing Coordinator
Practice location
3030 N Ballard Rd
Appleton, WI 54911-8707
Phone: (414) 543-3301
Fax: (414) 543-1532
Mailing address
3030 N Ballard Rd
Appleton, WI 54911-8707
Registry dates
- Enumerated
- 2022-03-10
- Last updated
- 2022-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.