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NPI 1831902394

OrganizationActive

Ahp 007

NPI 1831902394 · General Practice Dentistry · Appleton, WI

Provider details

NPI number: 1831902394
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Kate Mantay, Director of Operations

Practice location

3913 W Prospect Ave Ste 101

Appleton, WI 54914-8797

Phone: (920) 202-3502

More WI providers

Mailing address

15285 Watertown Plank Rd Ste 200

Elm Grove, WI 53122-2339

Registry dates

Enumerated: 2025-01-29
Last updated: 2025-01-29

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

Ahp 007 — NPI 1831902394, Appleton, WI | NPI Central