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

Madison Dental LLC

Organization Dental Clinic/Center · NPI 1417476458

Madison Dental LLC is a Dental Clinic/Center in Madison, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017
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

2110 Fordem Ave
Madison, WI 53704-4610
Phone: (608) 244-9124
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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 number1417476458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Bares — Owner · (309) 369-3284
NPI enumeratedSeptember 11, 2017
Last updated in NPPESSeptember 11, 2017
Mailing address2110 Fordem Ave, Madison, WI 53704-4610

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