OrganizationActive
Mdc Sun Prairie LLC
NPI 1417330945 · General Practice Dentistry · Sun Prairie, WI
Provider details
- NPI number
- 1417330945
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- William Mauthe, Owner(920) 921-1244
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1460 W Main St
Sun Prairie, WI 53590-1846
Phone: (608) 837-4636
Street-level locationGet directions
Mailing address
54 E 1st St
Fond Du Lac, WI 54935-4204
Other names (DBA / former)
- Doing business as
- Westside Dental
Registry dates
- Enumerated
- 2015-07-01
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.