Dental Associates Of Baraboo, S.C.
Dentist, General Practice in Baraboo, WI. Organization (NPI-2).
Details
- NPI
- 1790747558
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Associates Of Baraboo, S.C.
- Organization subpart
- No
- Enumeration date
- Apr 5, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
880 14th StBaraboo, WI 53913-1540
Phone 608-356-6611 · Fax 608-356-5268
Mailing address
880 14th StP.O. Box 558
Baraboo, WI 53913-1540
Phone 608-356-6611 · Fax 608-356-5268
Authorized official
Arnold J Utzinger
President
6083566611
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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