| Nakoma Dental Llc | |
|
4333 Nakoma Road Madison WI 53711 | |
| (608) 271-0331 | |
| (608) 271-3464 |
| Full Name | Nakoma Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4333 Nakoma Road, Madison, Wisconsin |
| Authorized Official Name and Position | Donald W Tipple (OWNER DOCTOR) |
| Authorized Official Contact | 6082710331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nakoma Dental Llc 4333 Nakoma Road Madison WI 53711 Ph: (608) 271-0331 | Nakoma Dental Llc 4333 Nakoma Road Madison WI 53711 Ph: (608) 271-0331 |
| NPI Number | 1083778799 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083778799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Wisconsin) | Primary |
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