OrganizationActive
Pack Janesville Dental, LLC.
NPI 1740679448 · General Practice Dentistry · Janesville, WI
Pack Janesville Dental, LLC. is a General Practice Dentistry organization in Janesville, WI (NPI 1740679448).
Provider details
- NPI number
- 1740679448
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kim Van Camp, Provider Relations Specialist(315) 464-6000
- License
- 5001352 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3131 Milton Ave Ste 190
Janesville, WI 53545-0244
Phone: (608) 302-4444
Fax: (608) 754-4436
Street-level locationGet directions
Mailing address
Po Box 3189
Syracuse, NY 13220-3189
Other names (DBA / former)
- Doing business as
- Aspen Dental
Registry dates
- Enumerated
- 2015-01-19
- Last updated
- 2015-01-19
Frequently asked questions
- What is Pack Janesville Dental, LLC.'s NPI number?
- Pack Janesville Dental, LLC.'s National Provider Identifier (NPI) is 1740679448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pack Janesville Dental, LLC.?
- Pack Janesville Dental, LLC. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pack Janesville Dental, LLC. located?
- Pack Janesville Dental, LLC.'s practice location on file with NPPES is 3131 Milton Ave Ste 190, Janesville, WI 53545-0244.
- What is Pack Janesville Dental, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Pack Janesville Dental, LLC. is (608) 302-4444.
- Who is the authorized official for Pack Janesville Dental, LLC.?
- The authorized official listed on Pack Janesville Dental, LLC.'s NPPES record is Kim Van Camp, Provider Relations Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pack Janesville Dental, LLC.'s NPI active?
- Yes — Pack Janesville Dental, LLC.'s NPI (1740679448) is active in the NPPES registry as of the last update on 2015-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.