OrganizationActive
Associated Dentists
NPI 1669691515 · Dental Clinic/Center · Madison, WI
Provider details
- NPI number
- 1669691515
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Mccully, Administrator(608) 238-7112
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dentist122300000X
Dental Providers
Practice location
749 University Row
Madison, WI 53705
Phone: (608) 238-7112
Fax: (608) 238-1061
Approximate (ZIP-level) locationGet directions
Mailing address
749 University Row
Madison, WI 53705
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2013-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.