Mi Dentista Llc is a Dental Clinic in Madison, Wisconsin. It is located at 4801 Cottage Grove Rd Ste D, Madison, WI and its contact number is 608-658-4600. The authorized person for Mi Dentista Llc is Matthew Kutz
who is Owner of the clinic and their contact number is 608-658-4600. The primary license number for Mi Dentista Llc is 5729-015 (General Practice) in Wisconsin.
Mi Dentista Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Mi Dentista Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mi Dentista Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 4801 Cottage Grove Rd Ste D, Madison,
Wisconsin, 53716-1349 |
| Phone: | 608-658-4600 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Matthew Kutz |
| Position: | Owner |
| Contact Number: | 608-658-4600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mi Dentista Llc clinic are as mentioned below.
| NPI Number: | 1891192415 |
| NPI Enumeration Date: | 25 Nov, 2014 |
| NPI Last Update On: | 25 Nov, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mi Dentista Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 5729-015 | Wisconsin | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mi Dentista Llc
4801 Cottage Grove Rd Ste D,
Madison, Wisconsin |
| Zip: | 53716-1349 |
| Phone Number: | 608-658-4600 |
Patients can reach Mi Dentista Llc at
4801 Cottage Grove Rd Ste D, Madison, Wisconsin or can
call to book an appointment on 608-658-4600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.