Idental
Idental is a healthcare organization registered as Dental Hygienist in Mount Pleasant, WI, holding Type 2 (organization) NPI 1508316753 since 2016. The authorized official on file is Marian Clubb, Assistant Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508316753 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Idental |
| Practice address | 1320 S GREEN BAY RD, Mount Pleasant, WI, 53406 |
| Phone | 2622230280 |
| Fax | 2622230281 |
| Enumeration date | 2016-10-12 |
| Last updated in NPPES | 2016-11-16 |
Authorized official
| Name | Marian Clubb |
|---|---|
| Title | Assistant Manager |
| Phone | 2622230280 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | Primary | 5279 | WI |
Copy-ready billing details
Provider: Idental NPI: 1508316753 Taxonomy: 124Q00000X (Dental Hygienist) Address: 1320 S GREEN BAY RD, Mount Pleasant, WI, 53406
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730172248 | Jeffrey Zeller | Individual | General Practice Dentistry | Racine, WI |
| 1003912916 | David Nelson | Individual | Dentist | Mount Pleasant, WI |
| 1396184370 | Adam Pamer | Individual | Pediatric Dentistry | Mt Pleasant, WI |
| 1861867947 | Idental LLC | Organization | Dentist | Mt Pleasant, WI |
| 1134575566 | Kristine Blumm | Individual | Dental Hygienist | Mount Pleasant, WI |
| 1669920831 | Cindi Due | Individual | Dental Hygienist | Mount Pleasant, WI |
| 1538600135 | Karen Marano | Individual | Dental Hygienist | Mount Pleasant, WI |
| 1073029609 | Nicole Hartman | Individual | Physical Therapy Assistant | Mt Pleasant, WI |
Verify this record
Cross-check NPI 1508316753 against the authoritative CMS record: view Idental 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
Who is the authorized official for Idental?
What is the NPI number for Idental?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-16.