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

Modern Dental Center LLC

Organization Dentist · NPI 1689320897

Modern Dental Center LLC is a Dentist in Fond Du Lac, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

101 Camelot Dr Ste 3
Fond Du Lac, WI 54935-8048
Phone: (920) 921-1244
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 number1689320897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Johnson — Cro · (941) 444-0558
Other names Dental Care Alliance
NPI enumeratedFebruary 25, 2022
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address101 Camelot Dr Ste 3, Fond Du Lac, WI 54935-8048

Other providers in Fond Du Lac