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ADVANCED DENTAL PROFESSIONALS, LLC
NPI 1306359450
Dentist in Wausau, WI

Active since November 13, 2017
617 JACKSON ST, WAUSAU, WI 54403(715) 842-0765 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Dental Professionals, Llc NPPES

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

ADVANCED DENTAL PROFESSIONALS, LLC (NPI 1306359450) is a healthcare organization registered as a dentist in Wausau, Wisconsin and active in the NPI registry since November 2017. The organization lists Olga Grenova, Director Of Accounting, as its authorized official.

NPPES Registry Identity

NPI1306359450
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameADVANCED DENTAL PROFESSIONALS, LLC
Location Address617 JACKSON STWausau, WI 54403-5550
Mailing Address617 Jackson StWausau, WI 54403-5550 · (715) 842-0765
Phone(715) 842-0765
Organization SubpartNo
Authorized OfficialOlga GrenovaDirector Of Accounting · (608) 833-2213
Enumeration DateNovember 13, 2017
✔ NPI 1306359450 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.
617 JACKSON ST, Wausau, WI 54403
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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. DAVID JOHN AICHER D.D.S.
Dentist (General Practice)
617 JACKSON ST
WAUSAU, WI 54403
Marathon County (715) 842-3321
DAVID J. AICHER DDS SC
Dentist
617 JACKSON ST
WAUSAU, WI 54403
Marathon County (715) 842-3321

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 Advanced Dental Professionals, LLC's NPI number?

The NPI number for Advanced Dental Professionals, LLC is 1306359450. It was assigned to this organization in the NPPES registry on November 13, 2017.

Where is Advanced Dental Professionals, LLC located?

Advanced Dental Professionals, LLC is located at 617 Jackson St, Wausau, WI 54403. The listed phone number is (715) 842-0765.

What is Advanced Dental Professionals, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Dental Professionals, LLC was last updated on November 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.