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LTC DENTAL
NPI 1124619556
Clinic/Center - Dental in Saint Francis, WI

Active since January 28, 2021
4060 S LAKE DR APT 4, SAINT FRANCIS, WI 53235(407) 375-3003(800) 863-5373 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ltc Dental NPPES

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

LTC DENTAL (NPI 1124619556) is a healthcare organization registered as a dental in Saint Francis, Wisconsin and active in the NPI registry since January 2021. The organization lists Tara Robinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1124619556
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLTC DENTAL
Location Address4060 S LAKE DR APT 4Saint Francis, WI 53235-5256
Mailing Address4060 S Lake Dr Apt 4Saint Francis, WI 53235-5256 · (407) 375-3003 · Fax (800) 863-5373
Phone(407) 375-3003
Fax(800) 863-5373
Organization SubpartNo
Authorized OfficialTara RobinsonOwner · (407) 375-3003
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1124619556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4060 S LAKE DR APT 4, Saint Francis, WI 53235
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Other Names 1

Doing Business AsLtc Dental

Other Providers at the Same Location NPPES 9

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

MRS. CARA SUE HALL RDH,BS
Dental Hygienist
4060 S LAKE DR APT 4
ST FRANCIS, WI 53235
Milwaukee County (407) 375-3003
KACY HUFFMAN RDH
Dental Hygienist
4060 S LAKE DR APT 4
ST FRANCIS, WI 53235
Milwaukee County (407) 375-3003
KRISTIN VETTER
Dental Hygienist
4060 S LAKE DR APT 4
ST FRANCIS, WI 53235
Milwaukee County (407) 375-3003
MS. TARA ROBINSON RDH
Dental Hygienist
4060 S LAKE DR APT 4
SAINT FRANCIS, WI 53235
Milwaukee County (407) 375-3003
SARAH JULIEN
Dental Hygienist
4060 S LAKE DR APT 4
ST FRANCIS, WI 53235
Milwaukee County (407) 375-3003
ROBIN HARDING RDH
Dental Hygienist
4060 S LAKE DR APT 4
SAINT FRANCIS, WI 53235
Milwaukee County (407) 375-3003
BRENDA ENSLIN LDH
Dental Hygienist
4060 S LAKE DR APT 4
ST FRANCIS, WI 53235
Milwaukee County (612) 237-8531
LTC DENTAL II LLC
Dentist
4060 S LAKE DR APT 4
SAINT FRANCIS, WI 53235
Milwaukee County (407) 375-3003

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 Ltc Dental's NPI number?

The NPI number for Ltc Dental is 1124619556. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Ltc Dental located?

Ltc Dental is located at 4060 S Lake Dr Apt 4, Saint Francis, WI 53235. The listed phone number is (407) 375-3003.

What is Ltc Dental'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 Ltc Dental was last updated on January 28, 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.