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

Sparta Family Dentistry, LLC

Organization General Practice Dentistry · NPI 1811354194

Sparta Family Dentistry, LLC is a General Practice Dentistry in Sparta, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
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

311 Jefferson Ave
Sparta, WI 54656-2113
Phone: (608) 269-5008
Fax: (608) 269-5018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6541-15 (WI)

Record details

NPI number1811354194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Domeyer — President · (715) 302-2329
NPI enumeratedJanuary 18, 2016
Last updated in NPPESJanuary 18, 2016
Mailing address311 Jefferson Ave, Sparta, WI 54656-2113

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