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

Periodontal & Implant Specialists of Madison, LLC

Organization Dentist · NPI 1366614885

Periodontal & Implant Specialists of Madison, LLC is a Dentist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
Specialties on file
3
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

49 N Walbridge Ave
Madison, WI 53717
Phone: (608) 833-2578
Fax: (608) 203-7105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3628 (WI)
Dentist Taxonomy 122300000X · Licence 6136 (WI)
Dentist Taxonomy 122300000X · Licence 6215 (WI)

Record details

NPI number1366614885
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDental Health Associates of Madison Ltd
Authorized official Jan Streich — Clinic Administrator · (608) 661-6412
NPI enumeratedMarch 25, 2008
Last updated in NPPESAugust 27, 2008
Mailing address2971 Chapel Valley Rd., Fitchburg, WI 57311-7240

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