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

Dr. Blair David Moldenhauer, DMD

Individual provider General Practice Dentistry · NPI 1568786655

Dr. Blair David Moldenhauer, DMD is a General Practice Dentistry in Sun Prairie, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

238 W Main St
Sun Prairie, WI 53590-2908
Phone: (608) 318-2119
Fax: (608) 318-2119
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3331015 (WI)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 3331015 (WI)

Record details

NPI number1568786655
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 18, 2010
Last updated in NPPESMarch 18, 2010

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