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THE KIDS DENTIST LLC
NPI 1407257108
Dentist - Pediatric Dentistry in Mequon, WI

Active since September 12, 2014
10618 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 241-0400 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Kids Dentist Llc NPPES

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

THE KIDS DENTIST LLC (NPI 1407257108) is a healthcare organization registered as a pediatric dentistry in Mequon, Wisconsin and active in the NPI registry since September 2014. The organization lists Shane Fisher, Owner, as its authorized official.

NPPES Registry Identity

NPI1407257108
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTHE KIDS DENTIST LLC
Location Address10618 N PORT WASHINGTON RDMequon, WI 53092-5013
Mailing Address10618 N Port Washington RdMequon, WI 53092-5013 · (262) 241-0400
Phone(262) 241-0400
Organization SubpartNo
Authorized OfficialShane FisherOwner · (262) 241-0400
Enumeration DateSeptember 12, 2014
✔ NPI 1407257108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WI · 5127-015
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

10618 N PORT WASHINGTON RD, Mequon, WI 53092
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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 3

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

DR. AUDREY LYNETTE CHU DDS
Dentist (Pediatric Dentistry)
10618 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 249-6419
DR. ELIZABETH DIANA SCHEINTHAL DMD
Dentist (Pediatric Dentistry)
10618 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-0400
THE KIDS DENTIST DENTAL CENTER LLC
Dentist
10618 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 249-6419

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 The Kids Dentist LLC's NPI number?

The NPI number for The Kids Dentist LLC is 1407257108. It was assigned to this organization in the NPPES registry on September 12, 2014.

Where is The Kids Dentist LLC located?

The Kids Dentist LLC is located at 10618 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 241-0400.

What is The Kids Dentist LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for The Kids Dentist LLC was last updated on September 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.