Northern Door Dental Sc is a Dental Clinic in Sister Bay, Wisconsin. It is located at 10589 S Highland Rd Ste 4, Sister Bay, WI and its contact number is 920-854-5200. The authorized person for Northern Door Dental Sc is Dr. Thomas Malcolm Mayhew Iii
who is Dentist Practice President Owner of the clinic and their contact number is 920-854-5200. The primary license number for Northern Door Dental Sc is 5002020015 (General Practice) in Wisconsin.
Northern Door Dental Sc 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:
Northern Door Dental Sc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Northern Door Dental Sc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 10589 S Highland Rd Ste 4, Sister Bay, Wisconsin, 54234 |
| Phone: | 920-854-5200 |
| Fax: | 920-854-7601 |
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: | Dr. Thomas Malcolm Mayhew Iii |
| Position: | Dentist Practice President Owner |
| Contact Number: | 920-854-5200 |
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 Northern Door Dental Sc clinic are as mentioned below.
| NPI Number: | 1013038207 |
| NPI Enumeration Date: | 03 Apr, 2007 |
| NPI Last Update On: | 30 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northern Door Dental Sc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 5002020015 | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33368800 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Northern Door Dental Sc 10589 S Highland Rd Ste 4, Sister Bay, Wisconsin |
| Zip: | 54234 |
| Phone Number: | 920-854-5200 |
| Fax Number: | 920-854-7601 |
Patients can reach Northern Door Dental Sc at
10589 S Highland Rd Ste 4, Sister Bay, Wisconsin or can
call to book an appointment on 920-854-5200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.