OrganizationActive
Dental Park Sc
NPI 1386636959 · Dental Clinic/Center · Manitowoc, WI
Dental Park Sc is a Dental Clinic/Center organization in Manitowoc, WI (NPI 1386636959).
Provider details
- NPI number
- 1386636959
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Boettcher, Partner Secretary(920) 682-0321
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1503 Randolph Ct
Manitowoc, WI 54220-8345
Phone: (920) 682-0321
Fax: (920) 682-3128
Street-level locationGet directions
Mailing address
1503 Randolph Ct
Manitowoc, WI 54220-8345
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2022-07-21
Frequently asked questions
- What is Dental Park Sc's NPI number?
- Dental Park Sc's National Provider Identifier (NPI) is 1386636959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Park Sc?
- Dental Park Sc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dental Park Sc located?
- Dental Park Sc's practice location on file with NPPES is 1503 Randolph Ct, Manitowoc, WI 54220-8345.
- What is Dental Park Sc's phone number?
- The practice phone number listed in the NPPES registry for Dental Park Sc is (920) 682-0321.
- Who is the authorized official for Dental Park Sc?
- The authorized official listed on Dental Park Sc's NPPES record is Daniel Boettcher, Partner Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Park Sc's NPI active?
- Yes — Dental Park Sc's NPI (1386636959) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.