Organization · Type 2 NPI

Summit Square Dental LLC

Dental Clinic/Center · Waukesha, WI

NPI number 1144764978 Active

Practice location

3228 Turnberry Oak Dr
Waukesha, WI 53188-3969

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Other dental clinic/center providers in Waukesha

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NPI record

NPI: 1144764978
Entity type: Organization (Type 2)
Issued: Dec 13, 2016
Last updated: Dec 13, 2016
Status: Active
Subpart: Yes of Stepping Stone Dental Partners

Other names

<unavail>
Summit Square Dentistry · former legal business name

Authorized official

Timothy J Mathison
President & CEO
(608) 709-8303

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About NPI 1144764978

Summit Square Dental LLC's National Provider Identifier is 1144764978, issued on Dec 13, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Waukesha, WI. The record was last updated on Dec 13, 2016.