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

Idental

Organization Dental Hygienist · NPI 1508316753

Idental is a Dental Hygienist in Mount Pleasant, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016

Practice location Address checks out

1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402
Phone: (262) 223-0280
Fax: (262) 223-0281
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 5279 (WI)

Record details

NPI number1508316753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marian Clubb — Assistant Manager · (262) 223-0280
NPI enumeratedOctober 12, 2016
Last updated in NPPESNovember 16, 2016
Mailing address1320 S Green Bay Rd, Mount Pleasant, WI 53406-4402

Other providers in Mount Pleasant