Organization · Type 2 NPI

Cedar Lake Dental Professionals Ltd

General Practice Dentistry · West Bend, WI

NPI number 1790840734 Active

Practice location

145 N 18th Avenue
West Bend, WI 53095

Fax (262) 334-3552

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4368 (WI)
Prosthodontics 1223P0700X4408 (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.

2 other providers at this address

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About NPI 1790840734

Cedar Lake Dental Professionals Ltd's National Provider Identifier is 1790840734, issued on Dec 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in West Bend, WI. The record was last updated on Sep 11, 2025.