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GRAND AVENUE DENTAL CARE, LLC
NPI 1255102323
Clinic/Center - Dental in Hartford, WI

Active since January 09, 2024
1163 GRAND AVE, HARTFORD, WI 53027(262) 673-7826 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Avenue Dental Care, Llc NPPES

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

GRAND AVENUE DENTAL CARE, LLC (NPI 1255102323) is a healthcare organization registered as a dental in Hartford, Wisconsin and active in the NPI registry since January 2024. The organization lists Leah Nicole Clancy, Owner, as its authorized official.

NPPES Registry Identity

NPI1255102323
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRAND AVENUE DENTAL CARE, LLC
Location Address1163 GRAND AVEHartford, WI 53027-2458
Mailing Address2505 N 84th StWauwatosa, WI 53226-1905 · (708) 738-5438
Phone(262) 673-7826
Organization SubpartNo
Authorized OfficialLeah Nicole ClancyOwner · (708) 738-5438
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1255102323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1163 GRAND AVE, Hartford, WI 53027
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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. ELLEN M DOWDEN D.D.S.
Dentist
1163 GRAND AVE
HARTFORD, WI 53027
Washington County (262) 673-7826
LE'ERIN VOSS DDS
Dentist
1163 GRAND AVE
HARTFORD, WI 53027
Washington County (262) 673-7826
PETER F WILK D.D.S.
Dentist
1163 GRAND AVE
HARTFORD, WI 53027
Washington County (262) 673-7826
DANIELLE ROSE SHINN D.M.D.
Dentist
1163 GRAND AVE
HARTFORD, WI 53027
Washington County (262) 673-7826
DR. LEAH NICOLE CLANCY DDS
Dentist (General Practice)
1163 GRAND AVE
HARTFORD, WI 53027
Washington County (262) 673-7826

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 Grand Avenue Dental Care, LLC's NPI number?

The NPI number for Grand Avenue Dental Care, LLC is 1255102323. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Grand Avenue Dental Care, LLC located?

Grand Avenue Dental Care, LLC is located at 1163 Grand Ave, Hartford, WI 53027. The listed phone number is (262) 673-7826.

What is Grand Avenue Dental Care, 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 Grand Avenue Dental Care, LLC was last updated on January 9, 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.