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Organization

GREAT DAY DENTAL LLC

Active
Parent organization
GREAT DAY DENTAL LLC
Other names
Great Day Dental Monona, Great Day Dental of East Madison
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREAT DAY DENTAL LLC
Authorized official
DR. JESSICA KIECKER DMD (OWNER)
(608) 241-1579
Entity
Organization

Contact information

Practice address
2010 EASTWOOD DR STE 206, MADISON, WI 53704-5387
(608) 241-1579
(608) 241-2061
Mailing address
1532 W BROADWAY STE 101, MONONA, WI 53713-1827
(608) 221-3326
(608) 221-9726

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
50015111
WI
261QD0000X
Dental Clinic/Center
Primary
6337
WI
261QD0000X
Dental Clinic/Center

Other

Enumeration date
10/30/2017
Last updated
07/12/2023
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