Grand Line Dentistry
Grand Line Dentistry provides Dental Clinic/Center services in Evansville, Wisconsin. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
39 W Church StEvansville, WI 53536-1329
Phone: (608) 882-4860
Fax: (608) 882-4862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1144132101 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Moah Xiong — Owner Dentist · (715) 297-6506 |
| NPI enumerated | September 22, 2026 |
| Last updated in NPPES | September 22, 2026 |
| Certification date | September 22, 2026 |
| Mailing address | 842 Twin Pines Dr, Madison, WI 53704-8560 |
Other providers in Evansville
-
Mercy Dental Evansville LLC
109 S Madison St, Evansville, WI 53536-1319 · (608) 882-4441