Great Day Dental LLC

NPI #1992217053 in Madison, Wisconsin

Provider Information

NPI Number: 1992217053
Entity Type: Organization
Organization Name: Great Day Dental LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GREAT DAY DENTAL LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 30, 2017
Last Updated: Jul 12, 2023

Practice Location

Address: 2010 EASTWOOD DR STE 206
City: Madison
State: Wisconsin
ZIP Code: 53704-5387
Phone: (608) 241-1579

Authorized Official

Name: DR. JESSICA KIECKER, DMD
Title: OWNER
Phone: (608) 241-1579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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