Organization · Type 2 NPI
Paradise Dental Professionals S.c.
Periodontics · West Bend, WI
NPI number
1649492208
Active
Practice location
1625 W Paradise Drive
West Bend, WI 53095
Fax (262) 338-6032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2788 (WI) |
| Dentist | 122300000X | 2487 (WI) |
| Periodontics Primary | 1223P0300X | 2608 (WI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1649492208
Paradise Dental Professionals S.c.'s National Provider Identifier is 1649492208, issued on May 3, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in West Bend, WI. The record was last updated on Sep 11, 2025.