# CHILDREN'S DENTAL HEALTH CENTER, S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710968086
- **Authorized official:** DR. MARK J STEINMETZ D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (920) 731-2566

## Contact information

- **Practice address:** W3132 VAN ROY RD, APPLETON, WI 54915-3982
- **Practice address phone:** (920) 731-2566
- **Practice address fax:** (920) 731-7868
- **Mailing address:** W3132 VAN ROY RD, APPLETON, WI 54915-3982
- **Mailing address phone:** (920) 731-2566
- **Mailing address fax:** (920) 731-7868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 4586 | WI | Yes |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33570700 | — | WI |
| 05 | — | 33732800 | — | WI |
| 05 | — | 33744500 | — | WI |