Individual provider · Type 1 NPI
Bailey Youngblade, DDS
Dentist · Pewaukee, WI
Practice location
617 Ryan St Ste 270
Pewaukee, WI 53072-1880
Fax (262) 691-3469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 39656 (TX) |
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…
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- Alexis Tomaszewski, DDSDentist Pewaukee, WI NPI 1477243046
- Philip Lee Koehler, DDSDentist Pewaukee, WI NPI 1477642965
About NPI 1508540147
Bailey Youngblade, DDS's National Provider Identifier is 1508540147, issued on Jun 14, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pewaukee, WI. The record was last updated on Sep 5, 2025.