Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mountain Dental of New Mexico PC

Organization General Practice Dentistry · NPI 1679872378

Mountain Dental of New Mexico PC provides General Practice Dentistry in Mondovi, Wisconsin. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

680 Hehli Way
Mondovi, WI 54755-1639 Not confirmed with CMS for 15 years — call before visiting
Phone: (715) 926-5050
Fax: (715) 926-5405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DD3263 (NM)

Record details

NPI number1679872378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — Owner · (715) 926-5050
Other names Mountain Dental
NPI enumeratedMarch 21, 2011
Last updated in NPPESMarch 21, 2011
Mailing address680 Hehli Way, Mondovi, WI 54755-1639

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