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

Menasha Family Dental LLC

Organization Dentist · NPI 1093323685

Menasha Family Dental LLC is a Dentist in Menasha, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
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

1431 Province Ter
Menasha, WI 54952-7003
Phone: (920) 968-1900
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1093323685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitch Weiland — Senior Accountant · (608) 343-0818
Other names Depas Family Dental Care
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020
Mailing address1431 Province Ter, Menasha, WI 54952-7003

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