OrganizationActive
Modern Dental Center LLC
NPI 1689320897 · Dentist · Fond Du Lac, WI
Modern Dental Center LLC is a Dentist organization in Fond Du Lac, WI (NPI 1689320897).
Provider details
- NPI number
- 1689320897
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Cole, Vp Insurance Plan Management(727) 424-2990
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
101 Camelot Dr Ste 3
Fond Du Lac, WI 54935-8048
Phone: (920) 921-1244
Street-level locationGet directions
Mailing address
101 Camelot Dr Ste 3
Fond Du Lac, WI 54935-8048
Other names (DBA / former)
- Other name
- Dental Care Alliance
Registry dates
- Enumerated
- 2022-02-25
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Frequently asked questions
- What is Modern Dental Center LLC's NPI number?
- Modern Dental Center LLC's National Provider Identifier (NPI) is 1689320897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental Center LLC?
- Modern Dental Center LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Modern Dental Center LLC located?
- Modern Dental Center LLC's practice location on file with NPPES is 101 Camelot Dr Ste 3, Fond Du Lac, WI 54935-8048.
- What is Modern Dental Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental Center LLC is (920) 921-1244.
- Who is the authorized official for Modern Dental Center LLC?
- The authorized official listed on Modern Dental Center LLC's NPPES record is Michael Cole, Vp Insurance Plan Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dental Center LLC's NPI active?
- Yes — Modern Dental Center LLC's NPI (1689320897) is active in the NPPES registry as of the last update on 2022-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.