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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAKESHORE FAMILY DENTAL CENTER LLC
NPI 1306629589
Dentist in Glendale, WI

Active since August 14, 2023
7155 N PORT WASHINGTON RD, GLENDALE, WI 53217(414) 352-1600 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Aug 22, 2023, Aug 14, 2023 (3 updates tracked since 2023).

About Lakeshore Family Dental Center Llc NPPES

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

LAKESHORE FAMILY DENTAL CENTER LLC (NPI 1306629589) is a healthcare organization registered as a dentist in Glendale, Wisconsin and active in the NPI registry since August 2023. The organization lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1306629589
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKESHORE FAMILY DENTAL CENTER LLC
Location Address7155 N PORT WASHINGTON RDGlendale, WI 53217-3841
Mailing Address7155 N Port Washington RdGlendale, WI 53217-3841 · (414) 352-1600
Phone(414) 352-1600
Organization SubpartNo
Authorized OfficialVictoria JohnsonCro · (941) 444-0558
Enumeration DateAugust 14, 2023
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1306629589 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.
7155 N PORT WASHINGTON RD, Glendale, WI 53217
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Other Names 1

Other NameDental Care Alliance

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. AMANDA LATHE DDS
Dentist
7155 N PORT WASHINGTON RD
GLENDALE, WI 53217
Milwaukee County (414) 928-2518
DR. DINGBO XIAO DMD
Dentist
7155 N PORT WASHINGTON RD
GLENDALE, WI 53217
Milwaukee County (414) 928-2518
MEGAN NICOLE HUNJADI LEGROS DDS
Dentist (General Practice)
7155 N PORT WASHINGTON RD
GLENDALE, WI 53217
Milwaukee County (414) 928-2518
DR. JESSICA GRUBER DDS
Dentist
7155 N PORT WASHINGTON RD
GLENDALE, WI 53217
Milwaukee County (414) 928-2518

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 Lakeshore Family Dental Center LLC's NPI number?

The NPI number for Lakeshore Family Dental Center LLC is 1306629589. It was assigned to this organization in the NPPES registry on August 14, 2023. The provider is also known as Dental Care Alliance.

Where is Lakeshore Family Dental Center LLC located?

Lakeshore Family Dental Center LLC is located at 7155 N Port Washington Rd, Glendale, WI 53217. The listed phone number is (414) 352-1600.

What is Lakeshore Family Dental Center 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 Lakeshore Family Dental Center LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.