OrganizationActive
Antigo Dental Clinic L.L.C.
NPI 1417004177 · General Practice Dentistry · Antigo, WI
Antigo Dental Clinic L.L.C. is a General Practice Dentistry organization in Antigo, WI (NPI 1417004177).
Provider details
- NPI number
- 1417004177
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Meghan O'Brien, Practice Owner(715) 627-4391
- License
- 5001261-015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
707 6th Ave
Antigo, WI 54409
Phone: (715) 627-4391
Fax: (715) 627-4392
Street-level locationGet directions
Mailing address
707 6th Ave
Antigo, WI 54409
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2016-12-14
Frequently asked questions
- What is Antigo Dental Clinic L.L.C.'s NPI number?
- Antigo Dental Clinic L.L.C.'s National Provider Identifier (NPI) is 1417004177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Antigo Dental Clinic L.L.C.?
- Antigo Dental Clinic L.L.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Antigo Dental Clinic L.L.C. located?
- Antigo Dental Clinic L.L.C.'s practice location on file with NPPES is 707 6th Ave, Antigo, WI 54409.
- What is Antigo Dental Clinic L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Antigo Dental Clinic L.L.C. is (715) 627-4391.
- Who is the authorized official for Antigo Dental Clinic L.L.C.?
- The authorized official listed on Antigo Dental Clinic L.L.C.'s NPPES record is Meghan O'Brien, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Antigo Dental Clinic L.L.C.'s NPI active?
- Yes — Antigo Dental Clinic L.L.C.'s NPI (1417004177) is active in the NPPES registry as of the last update on 2016-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.