Provider Demographics
NPI:1497041651
Name:BUDDE, MARGARET ANNE (DDS)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:BUDDE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 ODANA RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1207
Mailing Address - Country:US
Mailing Address - Phone:608-274-9077
Mailing Address - Fax:608-274-9103
Practice Address - Street 1:5601 ODANA RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1207
Practice Address - Country:US
Practice Address - Phone:608-274-9077
Practice Address - Fax:608-274-9103
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6733-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice