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DE PERE FAMILY DENTISTRY LLC
NPI 1225307267
Dentist - General Practice in De Pere, WI

Active since December 20, 2011
1001 N BROADWAY, DE PERE, WI 54115(920) 336-2500(920) 336-4684 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De Pere Family Dentistry Llc NPPES

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

DE PERE FAMILY DENTISTRY LLC (NPI 1225307267) is a healthcare organization registered as a general practice in De Pere, Wisconsin and active in the NPI registry since December 2011. The organization lists Cyril Joseph Van Sistine, Partner / Manager, as its authorized official.

NPPES Registry Identity

NPI1225307267
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDE PERE FAMILY DENTISTRY LLC
Location Address1001 N BROADWAYDe Pere, WI 54115-2609
Mailing Address1001 N BroadwayDe Pere, WI 54115-2609 · (920) 336-2500 · Fax (920) 336-4684
Phone(920) 336-2500
Fax(920) 336-4684
Organization SubpartNo
Authorized OfficialCyril Joseph Van SistinePartner / Manager · (920) 336-2500
Enumeration DateDecember 20, 2011
✔ NPI 1225307267 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 · 5001499
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.
1001 N BROADWAY, De Pere, WI 54115
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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 2

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

DR. CYRIL JOSEPH VANSISTINE, JR. D.D.S.
Dentist
1001 N BROADWAY
DE PERE, WI 54115
Brown County (920) 336-2500
DR. MOIRA KATHLEEN KRAFT D.D.S.
Dentist (General Practice)
1001 N BROADWAY
DE PERE, WI 54115
Brown County (920) 336-2500

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 De Pere Family Dentistry LLC's NPI number?

The NPI number for De Pere Family Dentistry LLC is 1225307267. It was assigned to this organization in the NPPES registry on December 20, 2011.

Where is De Pere Family Dentistry LLC located?

De Pere Family Dentistry LLC is located at 1001 N Broadway, De Pere, WI 54115. The listed phone number is (920) 336-2500.

What is De Pere Family Dentistry LLC'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 De Pere Family Dentistry LLC was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.