Individual
ISAAC STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1250 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-8505
Mailing address
1250 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-8505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001566-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/28/2023
Last updated
07/14/2025
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