Healthcare Provider Details

I. General information

NPI: 1073555850
Provider Name (Legal Business Name): TROY A ALTON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 RESEARCH PARK BLVD STE 110
MADISON WI
53719-6002
US

IV. Provider business mailing address

7795 SUMMERFIELD DR
VERONA WI
53593-8663
US

V. Phone/Fax

Practice location:
  • Phone: 608-274-0770
  • Fax: 608-274-9224
Mailing address:
  • Phone: 608-833-8504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number4881
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: