OrganizationActive
Deer Creek Dental Clinic, Ltd
NPI 1700110574 · Dental Clinic/Center · Tomah, WI
Provider details
- NPI number
- 1700110574
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katherine Konze, Office Administrator(608) 372-5000
- License
- 3857 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
820 N Superior Ave
Tomah, WI 54660-1120
Phone: (608) 372-5000
Street-level locationGet directions
Mailing address
820 N Superior Ave
Tomah, WI 54660-1120
Registry dates
- Enumerated
- 2009-09-28
- Last updated
- 2014-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.