Nakoma Dental LLC

NPI #1083778799 in Madison, Wisconsin

Provider Information

NPI Number: 1083778799
Entity Type: Organization
Organization Name: Nakoma Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4333 NAKOMA ROAD
City: Madison
State: Wisconsin
ZIP Code: 53711
Phone: (608) 271-0331

Authorized Official

Name: DR. DONALD W TIPPLE, DDS
Title: OWNER DOCTOR
Phone: (608) 271-0331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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