Organization · Type 2 NPI

Great Day Dental LLC

Dental Clinic/Center · Madison, WI

NPI number 1992217053 Active

Practice location

2010 Eastwood Dr Ste 206
Madison, WI 53704-5387

Call (608) 241-1579 Map

Fax (608) 241-2061

Mailing address

1532 W Broadway Ste 101
Monona, WI 53713-1827

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	6337 (WI)
Dental Clinic/Center	261QD0000X	50015111 (WI)
Dental Clinic/Center	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1992217053
Entity type: Organization (Type 2)
Issued: Oct 30, 2017
Last updated: Jul 12, 2023
Status: Active
Subpart: Yes of Great Day Dental LLC

Other names

<unavail>
Great Day Dental Monona · doing business as
Great Day Dental of East Madison · doing business as
Great Day Dental of East Madison · doing business as

Authorized official

Dr. Jessica Kiecker, DMD
Owner
(608) 241-1579

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About NPI 1992217053

Great Day Dental LLC's National Provider Identifier is 1992217053, issued on Oct 30, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Madison, WI. The record was last updated on Jul 12, 2023.