NPI 1083056600

Mdc Appleton S

Organisation General Practice Dentistry Appleton, WI

Practice location

Address: 1707 S Oneida St, Appleton, WI 54915-1302
Phone: (920) 734-2392
Mailing address: 101 Camelot Dr Suite 3, Fond Du Lac, WI 54935-8048

Authorised official

Name: William Mauthe
Title: Owner
Phone: (920) 948-6407

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Wisconsin →

Registry record

NPI: 1083056600
Entity type: Organization
NPI issued: 24 Jul 2013
Record last updated: 24 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.