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

Southworth Dental

Organization General Practice Dentistry · NPI 1699015974

Southworth Dental provides General Practice Dentistry in Wausau, Wisconsin. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

609 Jackson St
Wausau, WI 54403-5550 Not confirmed with CMS for 13 years — call before visiting
Phone: (715) 842-1935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1699015974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Genie Kuble — Contact Officer · (920) 450-0157
NPI enumeratedFebruary 22, 2013
Last updated in NPPESFebruary 22, 2013
Mailing address609 Jackson St, Wausau, WI 54403-5550

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