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

Kaukauna Family Dentistry, SC

Organization General Practice Dentistry · NPI 1073604013

Kaukauna Family Dentistry, SC is a General Practice Dentistry in Kaukauna, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

233 Dodge St
Kaukauna, WI 54130-2500
Phone: (920) 766-9542
Fax: (920) 759-4439
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 5001987-015 (WI)

Record details

NPI number1073604013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Farrow — Owner/President · (920) 766-9542
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJune 21, 2018
Mailing address233 Dodge St, Kaukauna, WI 54130-2500

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