COMPREHENSIVE DENTAL SERVICES LTD
NPI 1154480002
Dentist - General Practice in Mequon, WI

Active since December 06, 2006
10521 N PORT WASHINGTON RD, SUITE 200, MEQUON, WI 53092(262) 241-2060(262) 241-2064 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Comprehensive Dental Services Ltd NPPES

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

COMPREHENSIVE DENTAL SERVICES LTD (NPI 1154480002) is a healthcare organization registered as a general practice in Mequon, Wisconsin and active in the NPI registry since December 2006. The organization lists Marc Jacobson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1154480002
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMPREHENSIVE DENTAL SERVICES LTD
Location Address10521 N PORT WASHINGTON RD, SUITE 200Mequon, WI 53092
Mailing Address10521 N Port Washington Rd, Suite 200Mequon, WI 53092 · (262) 241-2060 · Fax (262) 241-2064
Fax(262) 241-2064
Organization SubpartNo
Authorized OfficialMarc JacobsonVice President · (262) 241-2060
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1154480002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 2475-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10521 N PORT WASHINGTON RD, Mequon, WI 53092

Other Identifiers 2

Medicaid33378400WI
Medicaid33412900WI

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 11

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

Dentist
10521 N PORT WASHINGTON RD
MEQUON, WI 53092
Dentist (Orthodontics and Dentofacial Orthopedics)
10521 N PORT WASHINGTON RD
MEQUON, WI 53092
Dentist (Orthodontics and Dentofacial Orthopedics)
10521 N PORT WASHINGTON RD
MEQUON, WI 53092
Chiropractor
10521 N PORT WASHINGTON RD, SUITE 130
MEQUON, WI 53092
Dentist (General Practice)
10521 N PORT WASHINGTON RD
MEQUON, WI 53092
Chiropractor
10521 N PORT WASHINGTON RD, STE 130
MEQUON, WI 53092
Chiropractor
10521 N PORT WASHINGTON RD, STE 130
MEQUON, WI 53092
Chiropractor
10521 N PORT WASHINGTON RD
MEQUON, WI 53092

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 Comprehensive Dental Services Ltd's NPI number?

The NPI number for Comprehensive Dental Services Ltd is 1154480002. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Comprehensive Dental Services Ltd located?

Comprehensive Dental Services Ltd is located at 10521 N Port Washington Rd Suite 200, Mequon, WI 53092. The listed phone number is (262) 241-2060.

What is Comprehensive Dental Services Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Comprehensive Dental Services Ltd was last updated on August 22, 2020. 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.