Healthcare Provider Details

I. General information

NPI: 1457277170
Provider Name (Legal Business Name): POINT PLACE DENTAL 2, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5541 US HIGHWAY 10 E
STEVENS POINT WI
54482-8306
US

IV. Provider business mailing address

5541 US HIGHWAY 10 E
STEVENS POINT WI
54482-8306
US

V. Phone/Fax

Practice location:
  • Phone: 534-535-0053
  • Fax:
Mailing address:
  • Phone: 534-535-0053
  • 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: STEVE SORREL
Title or Position: PRESIDENT
Credential:
Phone: 608-817-3255