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KENOSHA FAMILY DENTISTRY
NPI 1033941067
Dentist - General Practice in Kenosha, WI

Active since August 19, 2024
5707 75TH ST, KENOSHA, WI 53142(262) 697-0321 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenosha Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENOSHA FAMILY DENTISTRY (NPI 1033941067) is a healthcare organization registered as a general practice in Kenosha, Wisconsin and active in the NPI registry since August 2024. The organization lists Tejpal Singh Athwal, Owner/employee, as its authorized official.

NPPES Registry Identity

NPI1033941067
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENOSHA FAMILY DENTISTRY
Location Address5707 75TH STKenosha, WI 53142-3603
Mailing Address5707 75th StKenosha, WI 53142-3603
Phone(262) 697-0321
Organization SubpartNo
Authorized OfficialTejpal Singh AthwalOwner/employee · (262) 697-0321
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 18, 2024
✔ NPI 1033941067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5707 75TH ST, Kenosha, WI 53142
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TEJPAL SINGH ATHWAL DDS
Dentist (General Practice)
5707 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 697-0321
SUSAN M. CABLE, DDS, SC
Dentist (General Practice)
5707 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 697-0321
DR. VICKI SHAH DDS
Dentist (General Practice)
5707 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 697-0321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenosha Family Dentistry's NPI number?

The NPI number for Kenosha Family Dentistry is 1033941067. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Kenosha Family Dentistry located?

Kenosha Family Dentistry is located at 5707 75th St, Kenosha, WI 53142. The listed phone number is (262) 697-0321.

What is Kenosha Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenosha Family Dentistry was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.