Organization · Type 2 NPI

Advanced Dental Specialists, LLC

General Practice Dentistry · Glendale, WI

NPI number 1497403398 Active

Practice location

500 W Silver Spring Dr Ste K250
Glendale, WI 53217-5062

Fax (414) 529-9552

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

2 other providers at this address

Other general practice dentistry providers in Glendale

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NPI record

NPI: 1497403398
Entity type: Organization (Type 2)
Issued: Mar 10, 2022
Last updated: Mar 10, 2022
Status: Active
Subpart: Yes of Advanced Dental Specialists, LLC

Other names

Advanced Dental Specialists Bayshore · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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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.

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About NPI 1497403398

Advanced Dental Specialists, LLC's National Provider Identifier is 1497403398, issued on Mar 10, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glendale, WI. The record was last updated on Mar 10, 2022.