MONROE STREET FAMILY DENTAL, LLC (NPI# 1184959405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184959405 |
| Entity Type | Organization |
| Organization Name | MONROE STREET FAMILY DENTAL, LLC |
| Practice Address |
2702 Monroe St Madison WI 53711-1888 |
| Practice Telephone | 6082040222 |
| Practice Fax Number | 6082400224 |
| Mailing Telephone | 6082040222 |
| Mailing Fax Number | 6082400224 |
| Enumeration Date | 2009-10-04 |
| Last Update Date | 2009-10-04 |
| Authorized Official Name | BENJAMIN JOSEPH FARROW (MEMBER) |
| Authorized Official Telephone | 6082040222 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5964-015 | WI | Ambulatory Health Care Facilities |
| Street Address |
2702 MONROE ST |
| City | MADISON |
| State | WI |
| Zip Code | 53711-1888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957994 | Galen J Baker | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2005-07-27 |
| 1194194225 | Jahna Cook | Acupuncturist | 2702 Monroe St, Madison, WI 53711-1888 | 2015-09-18 |
| 1336410547 | Amanda J Pennekamp | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2012-01-19 |
| 1689804338 | Sara R Jurgella | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2009-07-15 |
| 1447436951 | Benjamin Michael Mikla | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2008-01-15 |
| 1194854521 | Benjamin Joseph Farrow | Dentist | 2702 Monroe St, Madison, WI 53711-1888 | 2007-03-02 |
| 1952393712 | Harvey T Storm | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2005-08-18 |
| 1649262403 | Eugene R Yellen-shiring | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2005-08-18 |
| 1699767368 | Stephen R Dewitt | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2005-08-18 |
| 1457343246 | Luedtke-storm-mackey Chiropractic Clinic, Sc | Chiropractor | 2702 Monroe St, Suite B, Madison, WI 53711-1897 | 2005-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
| 1306301072 | Dr. Lee Gus Dunker | Clinic/Center | 424 West St, Madison, IN 47250-3302 | 2019-02-06 |
| 1518422880 | Bright Dental Madison LLC | Clinic/Center | 7866 Mineral Point Rd, Madison, WI 53717-2028 | 2019-01-31 |
| 1992217053 | Great Day Dental of Monona | Clinic/Center | 2010 Eastwood Dr Ste 206, Madison, WI 53704-5387 | 2017-10-30 |
| 1770913220 | L.l. Barnett Dental Solutions, P.C. | Clinic/Center | 7185 Highway 72 W Ste C, Madison, AL 35758-6650 | 2013-11-20 |
| 1114210481 | Abcom Family Dental Care | Clinic/Center | 5402 Mineral Point Rd, Madison, WI 53705-4659 | 2011-05-19 |
| 1790976553 | Dr Andrew D Friedman Dmd | Clinic/Center | 21 Old Point Ave, Madison, ME 04950-1114 | 2007-08-07 |
| 1235351750 | Madison Dental Care | Clinic/Center | 535 Gallatin Pike S, Madison, TN 37115-4010 | 2007-05-03 |
| 1386209849 | Southeastern Dental Pllc | Clinic/Center | 117 Gallatin Pike N, Madison, TN 37115-3701 | 2019-05-09 |
| 1417421421 | Kevin L. Klinedinst Dds PC | Clinic/Center | 110 Miles Ridge Rd, Madison, IN 47250-2410 | 2019-01-14 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.