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

Sparta Family Dentistry, LLC

Organization General Practice Dentistry · NPI 1811354194

Sparta Family Dentistry, LLC provides General Practice Dentistry in Sparta, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
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

311 Jefferson Ave
Sparta, WI 54656-2113 Not confirmed with CMS for 10 years — call before visiting
Phone: (608) 269-5008
Fax: (608) 269-5018
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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 6541-15 (WI)

Record details

NPI number1811354194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Domeyer — President · (715) 302-2329
NPI enumeratedJanuary 18, 2016
Last updated in NPPESJanuary 18, 2016
Mailing address311 Jefferson Ave, Sparta, WI 54656-2113

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