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Lysette Lucille Brueggeman, DDS
General Practice Dentistry in West Bend, Wisconsin
NPI 1639234677

Lysette Lucille Brueggeman is a General Practice Dentistry based in West Bend, WI and is specialized in General Practice. Lysette Lucille Brueggeman practices in West Bend, WI and has the professional credentials of DDS. The NPI Number for Lysette Lucille Brueggeman is 1639234677 and holds a License No. 4368 (Wisconsin).

The current practice location address for Lysette Lucille Brueggeman is 145 N 18Th Avenue, West Bend, WI and can be reached out via phone at 262-334-3084 and via fax at 262-334-3552.

Location: 145 N 18Th Avenue, West Bend, WI, 53095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639234677
Provider Name
Lysette Lucille Brueggeman
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
145 N 18Th Avenue, West Bend, WI, 53095
Phone Number
262-334-3084
Fax Number
262-334-3552
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33713000 05 WI
650286 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
145 N 18Th Avenue
City
West Bend
State
Wisconsin
Zip
53095
Phone Number
262-334-3084
Fax Number
262-334-3552
person
Provider Business Mailing Address Details
Address
145 N 18Th Avenue
City
West Bend
State
Wisconsin
Zip
53095
Phone Number
262-334-3084
Fax Number
262-334-3552
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4368 (Wisconsin)
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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