Individual provider · Type 1 NPI
Kenneth Donald Neidhart, DDS
Periodontics · Madison, WI
NPI number
1053400945
Active
Practice location
2705 Marshall Ct
Madison, WI 53705-2255
Fax (608) 233-9342
Mailing address
2705 Marshall Court
Madison, WI 53705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 5001291-015 (WI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Madison
About NPI 1053400945
Kenneth Donald Neidhart, DDS's National Provider Identifier is 1053400945, issued on Oct 11, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Madison, WI. The record was last updated on Jul 8, 2007.