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RACINE PERIODONTICS AND IMPLANT DENTISTRY LTD
NPI 1215634266
Dentist - Periodontics in Lake Geneva, WI

Active since February 09, 2023
255 HAVENWOOD DR, LAKE GENEVA, WI 53147(262) 248-8505 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Racine Periodontics And Implant Dentistry Ltd NPPES

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

RACINE PERIODONTICS AND IMPLANT DENTISTRY LTD (NPI 1215634266) is a healthcare organization registered as a periodontics in Lake Geneva, Wisconsin and active in the NPI registry since February 2023. The organization lists Adrian Rivas, Owner, as its authorized official.

NPPES Registry Identity

NPI1215634266
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameRACINE PERIODONTICS AND IMPLANT DENTISTRY LTD
Location Address255 HAVENWOOD DRLake Geneva, WI 53147-1988
Mailing Address4715 James AveRacine, WI 53402-2642 · (305) 807-9082
Phone(262) 248-8505
Organization SubpartNo
Authorized OfficialAdrian RivasOwner · (305) 807-9082
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1215634266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
255 HAVENWOOD DR, Lake Geneva, WI 53147
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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 5

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

DR. BRUNO ELMER SCHIFFLEGER DDS
Dentist (Prosthodontics)
255 HAVENWOOD DR
LAKE GENEVA, WI 53147
Walworth County (262) 248-8899
NADING PERIODONTICS
Dentist (Periodontics)
255 HAVENWOOD DR
LAKE GENEVA, WI 53147
Walworth County (262) 248-8505
YOUNGQUIST KENNEDY ORTHODONTICS, LTD.
Dentist (Orthodontics and Dentofacial Orthopedics)
255 HAVENWOOD DR
LAKE GENEVA, WI 53147
Walworth County (262) 248-0101
ROBERT YOUNGQUIST
Dentist (Orthodontics and Dentofacial Orthopedics)
255 HAVENWOOD DR
LAKE GENEVA, WI 53147
Walworth County (262) 248-0101
DR. DAVID KENNEDY D.M.D. M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
255 HAVENWOOD DR
LAKE GENEVA, WI 53147
Walworth County (262) 248-0101

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 Racine Periodontics And Implant Dentistry Ltd's NPI number?

The NPI number for Racine Periodontics And Implant Dentistry Ltd is 1215634266. It was assigned to this organization in the NPPES registry on February 9, 2023.

Where is Racine Periodontics And Implant Dentistry Ltd located?

Racine Periodontics And Implant Dentistry Ltd is located at 255 Havenwood Dr, Lake Geneva, WI 53147. The listed phone number is (262) 248-8505.

What is Racine Periodontics And Implant Dentistry Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Racine Periodontics And Implant Dentistry Ltd was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.