Organization · Type 2 NPI

Dental Professionals

General Practice Dentistry · Germantown, WI

NPI number 1154437986 Active

Practice location

N112W16760 Mequon Rd
Germantown, WI 53022-5814

Fax (262) 255-9969

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X3169 (WI)
General Practice Dentistry 1223G0001X3507 (WI)
General Practice Dentistry Primary 1223G0001X5490-015 (WI)
Pediatric Dentistry 1223P0221X5203-015 (WI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 other providers at this address

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About NPI 1154437986

Dental Professionals's National Provider Identifier is 1154437986, issued on Aug 22, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Germantown, WI. The record was last updated on Sep 11, 2025.