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

Beaver Dam ENT LLC

Organization Otolaryngology Physician · NPI 1124277009

Beaver Dam ENT LLC is an Otolaryngology Physician in Beaver Dam, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008
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 S University Ave
Beaver Dam, WI 53916-3027
Phone: (920) 887-6383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1124277009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official K Abrams — Cfo · (920) 887-4041
NPI enumeratedSeptember 16, 2008
Last updated in NPPESJanuary 23, 2009
Mailing address707 S University Ave, Beaver Dam, WI 53916-3027

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