KEYSTONE SOUTH MILWAUKEE LLC
NPI 1114512225
Clinic/Center - Dental in South Milwaukee, WI

Q: What is Keystone South Milwaukee LLC's NPI number?

The NPI number for Keystone South Milwaukee LLC is 1114512225. It was assigned to this organization in the NPPES registry on March 2, 2021. The provider is doing business as South Milwaukee Family Dental.

Q: What is Keystone South Milwaukee LLC's specialty?

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

Active since March 02, 2021

1113 COLLEGE AVE # B, SOUTH MILWAUKEE, WI 53172(414) 764-0212 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keystone South Milwaukee Llc NPPES

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

KEYSTONE SOUTH MILWAUKEE LLC (NPI 1114512225), doing business as South Milwaukee Family Dental, is a healthcare organization registered as a dental in South Milwaukee, Wisconsin and active in the NPI registry since March 2021. The organization lists Tammy Kevin, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1114512225

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameKEYSTONE SOUTH MILWAUKEE LLC

Location Address1113 COLLEGE AVE # BSouth Milwaukee, WI 53172-1142

Mailing AddressPo Box 180163Delafield, WI 53018-0163 · (262) 873-0510

Phone(414) 764-0212

Organization SubpartNo

Authorized OfficialTammy KevinDirector Of Operations · (262) 873-0510

Enumeration DateMarch 2, 2021

NPPES CertifiedMarch 2, 2021

✔ NPI 1114512225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1113 COLLEGE AVE # B, South Milwaukee, WI 53172

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Other Names 1

Doing Business AsSouth Milwaukee Family Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Keystone South Milwaukee LLC's NPI number?

The NPI number for Keystone South Milwaukee LLC is 1114512225. It was assigned to this organization in the NPPES registry on March 2, 2021. The provider is doing business as South Milwaukee Family Dental.

Where is Keystone South Milwaukee LLC located?

Keystone South Milwaukee LLC is located at 1113 College Ave # B, South Milwaukee, WI 53172. The listed phone number is (414) 764-0212.

What is Keystone South Milwaukee LLC's specialty?

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

What insurance does Keystone South Milwaukee LLC accept?

Health plans from UnitedHealthcare list Keystone South Milwaukee LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keystone South Milwaukee LLC was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.