SUSSEX FAMILY DENTAL ASSOCIATES LLC
NPI 1275403495
Dentist in Sussex, WI

Active since November 11, 2025
W249N5245 EXECUTIVE DR STE 206, SUSSEX, WI 53089(262) 246-0100 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sussex Family Dental Associates Llc NPPES

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

SUSSEX FAMILY DENTAL ASSOCIATES LLC (NPI 1275403495) is a healthcare organization registered as a dentist in Sussex, Wisconsin and active in the NPI registry since November 2025. The organization lists Umar Hayat, Dentist, as its authorized official.

NPPES Registry Identity

NPI1275403495
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUSSEX FAMILY DENTAL ASSOCIATES LLC
Location AddressW249N5245 EXECUTIVE DR STE 206Sussex, WI 53089-4393
Mailing AddressW249n5245 Executive Dr Ste 206Sussex, WI 53089-4393 · (262) 246-0100
Organization SubpartNo
Authorized OfficialUmar HayatDentist · (610) 209-0325
Enumeration DateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1275403495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
W249N5245 EXECUTIVE DR STE 206, Sussex, WI 53089

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sussex Family Dental Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sussex Family Dental Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1477227148
710 W HISTORIC MITCHELL ST
Milwaukee, WI 53204
(773) 798-9382
✔ PECOS18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sussex Family Dental Associates LLC's NPI number?

The NPI number for Sussex Family Dental Associates LLC is 1275403495. It was assigned to this organization in the NPPES registry on November 11, 2025.

Where is Sussex Family Dental Associates LLC located?

Sussex Family Dental Associates LLC is located at W249n5245 Executive Dr Ste 206, Sussex, WI 53089. The listed phone number is (262) 246-0100.

What is Sussex Family Dental Associates LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sussex Family Dental Associates LLC enrolled in Medicare?

Yes. Sussex Family Dental Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sussex Family Dental Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Sussex Family Dental Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sussex Family Dental Associates LLC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.