Douglas D Podoll DDS Sc
Douglas D Podoll DDS Sc is a healthcare organization registered as Orthodontics and Dentofacial Orthopedics Dentistry in Baldwin, WI, holding Type 2 (organization) NPI 1063563674 since 2007. The authorized official on file is Douglas Podoll, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063563674 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Douglas D Podoll DDS Sc |
| Practice address | 1460 10TH AVE, Baldwin, WI, 54002 |
| Phone | 7156845858 |
| Fax | 7156845968 |
| Enumeration date | 2007-01-12 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Douglas Podoll |
|---|---|
| Title | President |
| Phone | 7156845858 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Primary | 3237 | WI |
Copy-ready billing details
Provider: Douglas D Podoll DDS Sc NPI: 1063563674 Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry) Address: 1460 10TH AVE, Baldwin, WI, 54002
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194894907 | David Scott | Individual | General Practice Dentistry | Baldwin, WI |
| 1104205285 | Kristo Ltd | Organization | Orthodontics and Dentofacial Orthopedics Dentistry | Baldwin, WI |
Verify this record
Cross-check NPI 1063563674 against the authoritative CMS record: view Douglas D Podoll DDS Sc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Douglas D Podoll DDS Sc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.