Healthcare Provider Details

I. General information

NPI: 1386550044
Provider Name (Legal Business Name): DAILY DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 MAIN STREET
STEVENS POINT WI
54481
US

IV. Provider business mailing address

N3729 FOX DEN CT.
HANCOCK WI
54943
US

V. Phone/Fax

Practice location:
  • Phone: 715-310-7675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: NATHAN DAILY
Title or Position: OWNER
Credential:
Phone: 715-310-7675