GREAT LAKES DENTAL, LLC
NPI 1043582869
Dentist in Germantown, WI

Q: What is Great Lakes Dental, LLC's NPI number?

The NPI number for Great Lakes Dental, LLC is 1043582869. It was assigned to this organization in the NPPES registry on February 9, 2012.

Q: What is Great Lakes Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 09, 2012

W188N11927 MAPLE RD, SUITE 12, GERMANTOWN, WI 53022(262) 509-5755(262) 565-2420 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Great Lakes Dental, Llc NPPES

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

GREAT LAKES DENTAL, LLC (NPI 1043582869) is a healthcare organization registered as a dentist in Germantown, Wisconsin and active in the NPI registry since February 2012. The organization lists Robert J Grzybowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1043582869

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGREAT LAKES DENTAL, LLC

Location AddressW188N11927 MAPLE RD, SUITE 12Germantown, WI 53022-6328

Mailing AddressW188n11927 Maple Rd, Suite 12Germantown, WI 53022-6328 · (262) 509-5755 · Fax (262) 565-2420

Phone(262) 509-5755

Fax(262) 565-2420

Organization SubpartNo

Authorized OfficialRobert J GrzybowskiOwner · (262) 509-5755

Enumeration DateFebruary 9, 2012

✔ NPI 1043582869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 4018

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

W188N11927 MAPLE RD, Germantown, WI 53022

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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

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

METROCARE HOME MEDICAL - GREENFIELD

Durable Medical Equipment & Medical Supplies

W188N11927 MAPLE RD
GERMANTOWN, WI 53022

Washington County (262) 345-3081

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 Great Lakes Dental, LLC's NPI number?

The NPI number for Great Lakes Dental, LLC is 1043582869. It was assigned to this organization in the NPPES registry on February 9, 2012.

Where is Great Lakes Dental, LLC located?

Great Lakes Dental, LLC is located at W188n11927 Maple Rd Suite 12, Germantown, WI 53022. The listed phone number is (262) 509-5755.

What is Great Lakes Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Dental, LLC was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.