BELOIT DENTAL
NPI 1326473927
Dentist - Oral and Maxillofacial Surgery in Beloit, WI

Active since September 13, 2013
1454 E HUEBBE PKWY, BELOIT, WI 53511(608) 362-0672(608) 362-4960 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Beloit Dental NPPES

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

BELOIT DENTAL (NPI 1326473927) is a healthcare organization registered as an oral and maxillofacial surgery in Beloit, Wisconsin and active in the NPI registry since September 2013. The organization lists Lawrence Groh, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1326473927
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameLAKE GENEVA DENTAL CARE, LLC
Location Address1454 E HUEBBE PKWYBeloit, WI 53511-1714
Mailing Address333 W 1st StElmhurst, IL 60126-2641 · (630) 833-5110 · Fax (630) 833-0458
Fax(608) 362-4960
Organization SubpartNo
Authorized OfficialLawrence GrohOwner/president · (630) 833-5110
Enumeration DateSeptember 13, 2013
NPI 1326473927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in IL · 019014858
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1454 E HUEBBE PKWY, Beloit, WI 53511

Other Names 1

Doing Business AsBeloit Dental

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

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

Dentist
1454 E HUEBBE PKWY
BELOIT, WI 53511

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 Lake Geneva Dental Care, LLC's NPI number?

The NPI number for Lake Geneva Dental Care, LLC is 1326473927. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Beloit Dental.

Where is Lake Geneva Dental Care, LLC located?

Lake Geneva Dental Care, LLC is located at 1454 E Huebbe Pkwy, Beloit, WI 53511. The listed phone number is (608) 362-0672.

What is Lake Geneva Dental Care, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Lake Geneva Dental Care, LLC was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.