EAST TROY FAMILY DENTAL CENTER SC
NPI 1376607408
Clinic/Center - Dental in East Troy, WI

Q: What is East Troy Family Dental Center Sc's NPI number?

The NPI number for East Troy Family Dental Center Sc is 1376607408. It was assigned to this organization in the NPPES registry on December 21, 2006.

Q: What is East Troy Family Dental Center Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since December 21, 2006

2481 EXECUTIVE DR, EAST TROY, WI 53120(262) 642-5695(262) 642-5395 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About East Troy Family Dental Center Sc NPPES

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

EAST TROY FAMILY DENTAL CENTER SC (NPI 1376607408) is a healthcare organization registered as a dental in East Troy, Wisconsin and active in the NPI registry since December 2006. The organization lists Gregory A Nyffeler, Owner President, as its authorized official.

NPPES Registry Identity

NPI1376607408

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameEAST TROY FAMILY DENTAL CENTER SC

Location Address2481 EXECUTIVE DREast Troy, WI 53120

Mailing AddressPo Box 642East Troy, WI 53120 · (262) 642-5695 · Fax (262) 642-5395

Phone(262) 642-5695

Fax(262) 642-5395

Organization SubpartNo

Authorized OfficialGregory A NyffelerOwner President · (262) 642-5695

Enumeration DateDecember 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376607408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

2481 EXECUTIVE DR, East Troy, WI 53120

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Other Identifiers 1

Medicaid38368500WI

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. GREGORY A NYFFELER DDS

Dentist

2481 EXECUTIVE DR
EAST TROY, WI 53120

Walworth County (262) 642-5695

BEHREND FAMILY DENTISTRY AND ASSOCIATES, S.C.

Dentist (General Practice)

2481 EXECUTIVE DR
EAST TROY, WI 53120

Walworth County (262) 642-5695

DR. TRACY DAVIES DDS

Dentist

2481 EXECUTIVE DR
EAST TROY, WI 53120

Walworth County (262) 642-5695

MAXWELL WEITZEL BEHREND DDS

Dentist (General Practice)

2481 EXECUTIVE DR
EAST TROY, WI 53120

Walworth County (262) 642-5695

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 East Troy Family Dental Center Sc's NPI number?

The NPI number for East Troy Family Dental Center Sc is 1376607408. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is East Troy Family Dental Center Sc located?

East Troy Family Dental Center Sc is located at 2481 Executive Dr, East Troy, WI 53120. The listed phone number is (262) 642-5695.

What is East Troy Family Dental Center Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for East Troy Family Dental Center Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.