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

Periodontal & Implant Specialists of Madison, LLC

Organization Dentist · NPI 1366614885

Periodontal & Implant Specialists of Madison, LLC provides Dentist services in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
Specialties on file
3
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

49 N Walbridge Ave
Madison, WI 53717 Not confirmed with CMS for 18 years — call before visiting
Phone: (608) 833-2578
Fax: (608) 203-7105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3628 (WI)
Dentist Taxonomy 122300000X · Licence 6136 (WI)
Dentist Taxonomy 122300000X · Licence 6215 (WI)

Record details

NPI number1366614885
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDental Health Associates of Madison Ltd
Authorized official Jan Streich — Clinic Administrator · (608) 661-6412
NPI enumeratedMarch 25, 2008
Last updated in NPPESAugust 27, 2008
Mailing address2971 Chapel Valley Rd., Fitchburg, WI 57311-7240

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