OrganizationActive
Sparta Family Dentistry, LLC
NPI 1811354194 · General Practice Dentistry · Sparta, WI
Sparta Family Dentistry, LLC is a General Practice Dentistry organization in Sparta, WI (NPI 1811354194).
Provider details
- NPI number
- 1811354194
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Alan Domeyer, President(715) 302-2329
- License
- 6541-15 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
311 Jefferson Ave
Sparta, WI 54656-2113
Phone: (608) 269-5008
Fax: (608) 269-5018
Street-level locationGet directions
Mailing address
311 Jefferson Ave
Sparta, WI 54656-2113
Registry dates
- Enumerated
- 2016-01-18
- Last updated
- 2016-01-18
Frequently asked questions
- What is Sparta Family Dentistry, LLC's NPI number?
- Sparta Family Dentistry, LLC's National Provider Identifier (NPI) is 1811354194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sparta Family Dentistry, LLC?
- Sparta Family Dentistry, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Sparta Family Dentistry, LLC located?
- Sparta Family Dentistry, LLC's practice location on file with NPPES is 311 Jefferson Ave, Sparta, WI 54656-2113.
- What is Sparta Family Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sparta Family Dentistry, LLC is (608) 269-5008.
- Who is the authorized official for Sparta Family Dentistry, LLC?
- The authorized official listed on Sparta Family Dentistry, LLC's NPPES record is Alan Domeyer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sparta Family Dentistry, LLC's NPI active?
- Yes — Sparta Family Dentistry, LLC's NPI (1811354194) is active in the NPPES registry as of the last update on 2016-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.