OrganizationActive
201 Water Front Dental LLC
NPI 1902912165 · General Practice Dentistry · Fort Atkinson, WI
Provider details
- NPI number
- 1902912165
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Michael Bender, 1st Vice President
Practice location
201 Sherman Ave. W.
Fort Atkinson, WI 53538
Phone: (920) 563-7323
Fax: (920) 563-7612
Mailing address
201 Sherman Ave. W.
Fort Atkinson, WI 53538
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2024-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.