Maple Grove Dental SC
Maple Grove Dental SC provides Dentist services in Madison, Wisconsin. Licensed in Ohio and Wisconsin. Registered with an NPI since 2005.
- Licensed in
- OH, WI
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
6627 McKee RdMadison, WI 53719-5023 Not confirmed with CMS for 15 years — call before visiting
Phone: (608) 848-5680
Fax: (608) 848-5681
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence WI3998 (WI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 30018639 (OH) |
Record details
| NPI number | 1134111974 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Tauschek — Owner/President · (608) 848-5680 |
| NPI enumerated | August 18, 2005 |
| Last updated in NPPES | January 26, 2011 |
| Mailing address | 6627 McKee Rd, Madison, WI 53719-5023 |
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