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KEYSTONE WAUKESHA LLC
NPI 1124868575
Clinic/Center - Dental in Waukesha, WI

Active since May 31, 2024
1700 CORAL DR, WAUKESHA, WI 53186(262) 650-3000 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keystone Waukesha Llc NPPES

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

KEYSTONE WAUKESHA LLC (NPI 1124868575) is a healthcare organization registered as a dental in Waukesha, Wisconsin and active in the NPI registry since May 2024. The organization lists Tammy Kevin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1124868575
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKEYSTONE WAUKESHA LLC
Location Address1700 CORAL DRWaukesha, WI 53186-1483
Mailing AddressPo Box 180467Delafield, WI 53018-0467 · (262) 873-0510
Phone(262) 650-3000
Organization SubpartNo
Authorized OfficialTammy KevinVice President · (262) 873-0510
Enumeration DateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1124868575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1700 CORAL DR, Waukesha, WI 53186
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Other Providers at the Same Location NPPES 4

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

PROVEN DENTAL LLC
Clinic/Center (Dental)
1700 CORAL DR
WAUKESHA, WI 53186
Waukesha County (262) 650-3000
NATHANIEL Y SHIN
Student in an Organized Health Care Education/Training Program
1700 CORAL DR
WAUKESHA, WI 53186
Waukesha County (262) 650-3000
JORDAN BOEHLKE
Dentist
1700 CORAL DR
WAUKESHA, WI 53186
Waukesha County (262) 650-3000
BADGER MEDICAL GROUP S.C.
Clinic/Center (Urgent Care)
1700 CORAL DR
WAUKESHA, WI 53186
Waukesha County (262) 232-6200

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 Waukesha LLC's NPI number?

The NPI number for Keystone Waukesha LLC is 1124868575. It was assigned to this organization in the NPPES registry on May 31, 2024.

Where is Keystone Waukesha LLC located?

Keystone Waukesha LLC is located at 1700 Coral Dr, Waukesha, WI 53186. The listed phone number is (262) 650-3000.

What is Keystone Waukesha 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 Keystone Waukesha LLC was last updated on May 31, 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.