Individual provider · Type 1 NPI

Keith A. Stummer, DDS

General Practice Dentistry · Kenosha, WI

NPI number 1154473049 Active

Practice location

3100 80th St
Kenosha, WI 53142-4946

Call (262) 694-2961 Map

Fax (262) 942-7340

Mailing address

4467 114th St
Pleasant Prairie, WI 53158-3860

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3556015 (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.

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About NPI 1154473049

Keith A. Stummer, DDS's National Provider Identifier is 1154473049, issued on Jan 18, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kenosha, WI. The record was last updated on Jul 8, 2007.