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Summit Square Dental LLC

Dental Clinic/Center in Waukesha, WI · enumerated 2016 · authorized official Timothy Mathison, President & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144764978

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Registry record

Entity type Organization (Type 2)
Legal business name Summit Square Dental LLC
Other name <Unavail>
Parent organization Stepping Stone Dental Partners
Practice address 3228 Turnberry Oak Dr, Waukesha, WI, 53188
Enumeration date Dec 13, 2016
Last updated in NPPES Dec 13, 2016

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Timothy Mathison
Title President & Ceo

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.

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Frequently asked questions

What is the NPI number for Summit Square Dental LLC?
The NPI for Summit Square Dental LLC is 1144764978, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Summit Square Dental LLC?
NPPES lists Timothy Mathison (President & Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-13.