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

Ellickson Dental LLC

Organization Dental Clinic/Center · NPI 1174458509

Ellickson Dental LLC is a Dental Clinic/Center in Madison, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
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

5510 Medical Cir
Madison, WI 53719-1239
Phone: (608) 274-5510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1174458509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luke Ellickson — Owner · (417) 569-6575
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address5510 Medical Cir, Madison, WI 53719-1239

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