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

Dental Implants & Periodontal Specialist

Organization Periodontics · NPI 1548008022

Dental Implants & Periodontal Specialist is a Periodontics in Madison, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6601 Mineral Point Rd
Madison, WI 53705-4239
Phone: (608) 841-1600
Fax: (608) 841-1602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1548008022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Hulse-Cristoforo — Cfo · (516) 835-6777
NPI enumeratedJuly 18, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address6601 Mineral Point Rd, Madison, WI 53705-4239

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