OrganizationActive
Southworth Dental
NPI 1699015974 · General Practice Dentistry · Wausau, WI
Southworth Dental is a General Practice Dentistry organization in Wausau, WI (NPI 1699015974).
Provider details
- NPI number
- 1699015974
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Genie Kuble, Contact Officer(920) 450-0157
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
609 Jackson St
Wausau, WI 54403-5550
Phone: (715) 842-1935
Street-level locationGet directions
Mailing address
609 Jackson St
Wausau, WI 54403-5550
Registry dates
- Enumerated
- 2013-02-22
- Last updated
- 2013-02-22
Frequently asked questions
- What is Southworth Dental's NPI number?
- Southworth Dental's National Provider Identifier (NPI) is 1699015974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southworth Dental?
- Southworth Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southworth Dental located?
- Southworth Dental's practice location on file with NPPES is 609 Jackson St, Wausau, WI 54403-5550.
- What is Southworth Dental's phone number?
- The practice phone number listed in the NPPES registry for Southworth Dental is (715) 842-1935.
- Who is the authorized official for Southworth Dental?
- The authorized official listed on Southworth Dental's NPPES record is Genie Kuble, Contact Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southworth Dental's NPI active?
- Yes — Southworth Dental's NPI (1699015974) is active in the NPPES registry as of the last update on 2013-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.