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

Northwoods Dentistry, SC

Organization Dentist · NPI 1063859114

Northwoods Dentistry, SC is a Dentist in Phillips, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
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Practice location Address checks out

605 Peterson Dr
Phillips, WI 54555-1430
Phone: (715) 339-3021
Fax: (715) 339-3022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6619 (WI)

Record details

NPI number1063859114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Staroba — Office Manager · (715) 339-3021
NPI enumeratedMay 30, 2013
Last updated in NPPESMay 30, 2013
Mailing addressPo Box 10, Phillips, WI 54555-0010