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

Fall Creek Dental

Organization General Practice Dentistry · NPI 1295955342

Fall Creek Dental is a General Practice Dentistry in Fall Creek, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

122 State St
Fall Creek, WI 54742
Phone: (715) 877-2113
Fax: (715) 877-3495
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 3104 (WI)

Record details

NPI number1295955342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Pilgrim — Dentist · (715) 877-2113
NPI enumeratedApril 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address122 State St, Box 66, Fall Creek, WI 54742

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