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Beaver Dam Dental LLC — NPI 1699985051, Beaver Dam, WI | NPI Central

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NPI 1699985051

OrganizationActive

Beaver Dam Dental LLC

NPI 1699985051 · General Practice Dentistry · Beaver Dam, WI

Provider details

NPI number: 1699985051
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Parent organization: Stepping Stone Dental Partners
Organization subpart: Yes
Authorized official: Genevieve Poppe, Partner(608) 358-3370
License: 1384G (WI)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 3480 (WI)
Dental Providers
General Practice Dentistry1223G0001XLicense 1384G (WI)
Dental Providers
General Practice Dentistry1223G0001XLicense 6749-015 (WI)
Dental Providers

Practice location

302 N Spring St

Beaver Dam, WI 53916-2044

Phone: (920) 887-8421

Fax: (920) 887-8431

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

Po Box 436

Beaver Dam, WI 53916-0436

Registry dates

Enumerated: 2007-05-23
Last updated: 2013-01-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.