OrganizationActive
Madison Dental LLC
NPI 1417476458 · Dental Clinic/Center · Madison, WI
Madison Dental LLC is a Dental Clinic/Center organization in Madison, WI (NPI 1417476458).
Provider details
- NPI number
- 1417476458
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Bares, Owner(309) 369-3284
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2110 Fordem Ave
Madison, WI 53704-4610
Phone: (608) 244-9124
Street-level locationGet directions
Mailing address
2110 Fordem Ave
Madison, WI 53704-4610
Registry dates
- Enumerated
- 2017-09-11
- Last updated
- 2017-09-11
Frequently asked questions
- What is Madison Dental LLC's NPI number?
- Madison Dental LLC's National Provider Identifier (NPI) is 1417476458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Madison Dental LLC?
- Madison Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Madison Dental LLC located?
- Madison Dental LLC's practice location on file with NPPES is 2110 Fordem Ave, Madison, WI 53704-4610.
- What is Madison Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Madison Dental LLC is (608) 244-9124.
- Who is the authorized official for Madison Dental LLC?
- The authorized official listed on Madison Dental LLC's NPPES record is Kelly Bares, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Madison Dental LLC's NPI active?
- Yes — Madison Dental LLC's NPI (1417476458) is active in the NPPES registry as of the last update on 2017-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.