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SANDBERG MODERN DENTAL LLC
NPI 1285029652
Dentist - General Practice in Wauwatosa, WI

Active since April 02, 2015
6535 W NORTH AVE, WAUWATOSA, WI 53213(414) 258-8190 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandberg Modern Dental Llc NPPES

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

SANDBERG MODERN DENTAL LLC (NPI 1285029652) is a healthcare organization registered as a general practice in Wauwatosa, Wisconsin and active in the NPI registry since April 2015. The organization lists Matthew Sandberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1285029652
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSANDBERG MODERN DENTAL LLC
Location Address6535 W NORTH AVEWauwatosa, WI 53213-2016
Mailing Address6535 W North AveWauwatosa, WI 53213-2016 · (414) 258-8190
Phone(414) 258-8190
Organization SubpartNo
Authorized OfficialMatthew SandbergOwner · (414) 258-8190
Enumeration DateApril 2, 2015
✔ NPI 1285029652 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 · WI 6664-15
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.
6535 W NORTH AVE, Wauwatosa, WI 53213
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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 3

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

KATELYN MARIE STINE D.D.S.
Dentist
6535 W NORTH AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 258-8190
DR. KELSEY CHADWICK DDS
Dentist
6535 W NORTH AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 258-8190
MATTHEW SANDBERG DMD
Dentist
6535 W NORTH AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 258-8190

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 Sandberg Modern Dental LLC's NPI number?

The NPI number for Sandberg Modern Dental LLC is 1285029652. It was assigned to this organization in the NPPES registry on April 2, 2015.

Where is Sandberg Modern Dental LLC located?

Sandberg Modern Dental LLC is located at 6535 W North Ave, Wauwatosa, WI 53213. The listed phone number is (414) 258-8190.

What is Sandberg Modern Dental 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 Sandberg Modern Dental LLC was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.