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DR. KEVIN DANIEL CASTLEBERRY DDS
NPI 1366857146
Dentist - General Practice in Green Lake, WI

Active since June 30, 2014
560 MILL ST, GREEN LAKE, WI 54941(920) 294-6790 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2018, Jul 14, 2016 (2 updates tracked since 2016).

About Dr. Kevin Daniel Castleberry Dds NPPES

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

DR. KEVIN DANIEL CASTLEBERRY DDS (NPI 1366857146) is an individual general practice provider in Green Lake, Wisconsin, licensed in Wisconsin (7284-15) and active in the NPI registry since June 2014. He maintains a secondary practice location in Fort Campbell.

NPPES Registry Identity

NPI1366857146
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN DANIEL CASTLEBERRYCredential: DDS
Location Address560 MILL STGreen Lake, WI 54941
Mailing Address560 Mill StGreen Lake, WI 54941-9527 · (920) 294-6790
Phone(920) 294-6790
Sole ProprietorYes
Enumeration DateJune 30, 2014
Last NPPES UpdateMay 16, 20182 updates tracked since enumeration
✔ NPI 1366857146 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 · 7284-15
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.

560 MILL ST, Green Lake, WI 54941
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Secondary Practice Location 1

Location 1Bldg 2441 21st Street, US Army Dental ActivityFort Campbell, KY 42223 · Phone (270) 798-8751 · Fax (270) 956-0266

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Kevin Castleberry's NPI number?

The NPI number for Kevin Castleberry is 1366857146. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Kevin Castleberry located?

Kevin Castleberry practices at 560 Mill St, Green Lake, WI 54941. The listed phone number is (920) 294-6790.

What is Kevin Castleberry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kevin Castleberry accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Guardian and 1 other insurer list Kevin Castleberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Castleberry was last updated on May 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.