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OUTREACH 4 HEALTHY TEETH, LLC
NPI 1083254064
Clinic/Center - Dental in Racine, WI

Active since January 08, 2020
500 COLLEGE AVE, RACINE, WI 53403(262) 620-6997 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2022, Jul 11, 2022, Jan 8, 2020 (3 updates tracked since 2020).

About Outreach 4 Healthy Teeth, Llc NPPES

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

OUTREACH 4 HEALTHY TEETH, LLC (NPI 1083254064) is a healthcare organization registered as a dental in Racine, Wisconsin and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Kenosha and lists Michelle Fox, Owner/dental Hygienist, as its authorized official.

NPPES Registry Identity

NPI1083254064
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameOUTREACH 4 HEALTHY TEETH, LLC
Location Address500 COLLEGE AVERacine, WI 53403-1058
Mailing Address500 College AveRacine, WI 53403-1058 · (262) 620-6997
Phone(262) 620-6997
Organization SubpartNo
Authorized OfficialMichelle FoxOwner/dental Hygienist · (262) 620-6997
Enumeration DateJanuary 8, 2020
Last NPPES UpdateJuly 20, 20223 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1083254064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
500 COLLEGE AVE, Racine, WI 53403
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Secondary Practice Location 1

Location 19220 66th StKenosha, WI 53142-8234 · Phone (262) 620-6997

Other Providers at the Same Location NPPES 7

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

ERIC LELAND NIELSEN RN
Registered Nurse (Home Health)
500 COLLEGE AVE
RACINE, WI 53403
Racine County (414) 628-4114
TAMMY CADMAN RDH
Dental Hygienist
500 COLLEGE AVE
RACINE, WI 53403
Racine County (262) 620-6997
ERIKA GAUDYNSKI
Dental Hygienist
500 COLLEGE AVE
RACINE, WI 53403
Racine County (262) 620-6997
MRS. MICHELLE LEE FOX RDH
Dental Hygienist
500 COLLEGE AVE
RACINE, WI 53403
Racine County (262) 620-6997
ANGELICA CAMACHO RDH
Dental Hygienist
500 COLLEGE AVE
RACINE, WI 53403
Racine County (262) 620-6997
AMANDA M MORRILL RDH
Dental Hygienist
500 COLLEGE AVE
RACINE, WI 53403
Racine County (262) 620-6997
ACTION HEALTHCARE LLC
Durable Medical Equipment & Medical Supplies
500 COLLEGE AVE
RACINE, WI 53403
Racine County (262) 884-6980

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 Outreach 4 Healthy Teeth, LLC's NPI number?

The NPI number for Outreach 4 Healthy Teeth, LLC is 1083254064. It was assigned to this organization in the NPPES registry on January 8, 2020.

Where is Outreach 4 Healthy Teeth, LLC located?

Outreach 4 Healthy Teeth, LLC is located at 500 College Ave, Racine, WI 53403. The listed phone number is (262) 620-6997.

What is Outreach 4 Healthy Teeth, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Outreach 4 Healthy Teeth, LLC was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.