Organization · Type 2 NPI

Great Lakes Dental, LLC

Dentist · Germantown, WI

NPI number 1043582869 Active

Practice location

W188N11927 Maple Rd, Suite 12
Germantown, WI 53022-6328

Fax (262) 565-2420

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X4018 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

Another provider at this address

About NPI 1043582869

Great Lakes Dental, LLC's National Provider Identifier is 1043582869, issued on Feb 9, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Germantown, WI. The record was last updated on Feb 9, 2012.