Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antigo Dental Clinic LLC

Organization General Practice Dentistry · NPI 1417004177

Antigo Dental Clinic LLC is a General Practice Dentistry in Antigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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

707 6th Ave
Antigo, WI 54409
Phone: (715) 627-4391
Fax: (715) 627-4392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5001261-015 (WI)

Record details

NPI number1417004177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meghan O'Brien — Practice Owner · (715) 627-4391
NPI enumeratedJanuary 4, 2007
Last updated in NPPESDecember 14, 2016
Mailing address707 6th Ave, Antigo, WI 54409

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