Organization · Type 2 NPI

Waukesha County Community Dental Clinic, Inc.

Dental Clinic/Center · Menomonee Falls, WI

NPI number 1053814772 Active

Practice location

N81W15062 Appleton Ave
Menomonee Falls, WI 53051

Call (262) 953-4699 Map

Fax (262) 522-2828

Mailing address

210 NW Barstow St Ste 305
Waukesha, WI 53188-3771

Other practice locations

210 NW Barstow St Ste 305, Waukesha, WI 53188-3771 · (262) 953-4699

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

Other dental clinic/center providers in Menomonee Falls

See all in Menomonee Falls →

NPI record

NPI: 1053814772
Entity type: Organization (Type 2)
Issued: Mar 9, 2018
Last updated: Aug 10, 2018
Status: Active
Subpart: Yes of Waukesha County Community Dental Clinic

Other names

<unavail>
Waukesha County Community Dental Clinic · other name
Waukesha County Community Dental Clinic - Menomonee Falls · other name

Authorized official

Renee Ramirez
Executive Director
(262) 953-4699

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1053814772

Waukesha County Community Dental Clinic, Inc.'s National Provider Identifier is 1053814772, issued on Mar 9, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Menomonee Falls, WI. The record was last updated on Aug 10, 2018.