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

Southworth Dental

Organization General Practice Dentistry · NPI 1699015974

Southworth Dental is a General Practice Dentistry in Wausau, Wisconsin. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

609 Jackson St
Wausau, WI 54403-5550
Phone: (715) 842-1935
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1699015974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Genie Kuble — Contact Officer · (920) 450-0157
NPI enumeratedFebruary 22, 2013
Last updated in NPPESFebruary 22, 2013
Mailing address609 Jackson St, Wausau, WI 54403-5550

Other providers in Wausau