Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pack Janesville Dental, LLC

Organization General Practice Dentistry · NPI 1740679448

Pack Janesville Dental, LLC provides General Practice Dentistry in Janesville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3131 Milton Ave Ste 190
Janesville, WI 53545-0244 Not confirmed with CMS for 11 years — call before visiting
Phone: (608) 302-4444
Fax: (608) 754-4436
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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 5001352 (WI)

Record details

NPI number1740679448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Van Camp — Provider Relations Specialist · (315) 464-6000
Other names Aspen Dental
NPI enumeratedJanuary 19, 2015
Last updated in NPPESJanuary 19, 2015
Mailing addressPo Box 3189, Syracuse, NY 13220-3189

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