institution
Kenosha Dentist Llc
General Practice Dentistry in Kenosha, Wisconsin
NPI 1205364197

Kenosha Dentist Llc is a General Practice Dentistry based in Kenosha, WI and is specialized in General Practice. Kenosha Dentist Llc practices in Kenosha, WI. The NPI Number for Kenosha Dentist Llc is 1205364197 and holds a License No. (Wisconsin).

The current practice location address for Kenosha Dentist Llc is 5455 Sheridan Rd Ste 201, Kenosha, WI and can be reached out via phone at 262-244-0700. You can also correspond with Kenosha Dentist Llc through the mailing address at 5455 SHERIDAN RD STE 201, KENOSHA, WI - 53140-3752 (mailing address contact number: ).

Location: 5455 Sheridan Rd Ste 201, Kenosha, WI, 53140-3752
institution
Provider Profile Details
NPI Number
1205364197
Provider Name
Kenosha Dentist Llc
Credential
Provider Entity Type
Organization
Address
5455 Sheridan Rd Ste 201, Kenosha, WI, 53140-3752
Phone Number
262-244-0700
Fax Number
Provider Enumeration Date
05/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699101477 05 IL
institution
Provider Business Practice Location Address Details
Address
5455 Sheridan Rd Ste 201
City
State
Zip
53140-3752
Phone Number
262-244-0700
Fax Number
person
Provider Business Mailing Address Details
Address
5455 Sheridan Rd Ste 201
City
State
Zip
53140-3752
Phone Number
262-244-0700
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
()
Definition
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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