MEDICARE: ARMSTRONG FAMILY DENTAL,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	4986	WI

General Provider Information

NPI Number	:	1770751315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMSTRONG FAMILY DENTAL,LLC

Provider Business Mailing Address
First Line	:	1602 11TH ST
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-2002
Country	:	US
Telephone Number	:	608-325-5464
Fax Number	:

Provider Business Practice Location Address
First Line	:	1602 11TH ST
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-2002
Country	:	US
Telephone Number	:	608-325-5464
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JON RANDALL ARMSTRONG
Credential	:	DDS
Telephone Number	:	608-325-5464

Provider Enumeration Date	:	02/18/2008
Last Update Date	:	04/14/2026

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