Provider Demographics
NPI:1750051900
Name:DENLINGER ORTHODONTICS LLC
Entity Type:Organization
Organization Name:DENLINGER ORTHODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-590-2949
Mailing Address - Street 1:674 MITCHELL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-9340
Mailing Address - Country:US
Mailing Address - Phone:608-348-9777
Mailing Address - Fax:
Practice Address - Street 1:674 MITCHELL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-9340
Practice Address - Country:US
Practice Address - Phone:608-348-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-19
Last Update Date:2021-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental