GENERATIONS FAMILY DENTAL CARE-RANDOM LAKE, LLC
NPI 1407387483
Dentist - General Practice in Random Lake, WI

Q: What is Generations Family Dental Care-Random Lake, LLC's specialty?

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

Active since March 22, 2017

37 HICKORY DR, RANDOM LAKE, WI 53075(920) 994-4367 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Generations Family Dental Care-random Lake, Llc NPPES

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

GENERATIONS FAMILY DENTAL CARE-RANDOM LAKE, LLC (NPI 1407387483) is a healthcare organization registered as a general practice in Random Lake, Wisconsin and active in the NPI registry since March 2017. The organization lists Fred Lacourt, Manager, as its authorized official.

NPPES Registry Identity

NPI1407387483

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameGENERATIONS FAMILY DENTAL CARE-RANDOM LAKE, LLC

Location Address37 HICKORY DRRandom Lake, WI 53075-1675

Mailing Address2505 N Mayfair Rd, Suite 103Wauwatosa, WI 53226-1404 · (414) 258-2117

Phone(920) 994-4367

Organization SubpartNo

Authorized OfficialFred LacourtManager · (414) 258-2117

Enumeration DateMarch 22, 2017

✔ NPI 1407387483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

37 HICKORY DR, Random Lake, WI 53075

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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

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

RANDOM LAKE DENTISTRY, INC

Clinic/Center (Dental)

37 HICKORY DR
RANDOM LAKE, WI 53075

Sheboygan County (920) 994-4367

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 Generations Family Dental Care-Random Lake, LLC's NPI number?

The NPI number for Generations Family Dental Care-Random Lake, LLC is 1407387483. It was assigned to this organization in the NPPES registry on March 22, 2017.

Where is Generations Family Dental Care-Random Lake, LLC located?

Generations Family Dental Care-Random Lake, LLC is located at 37 Hickory Dr, Random Lake, WI 53075. The listed phone number is (920) 994-4367.

What is Generations Family Dental Care-Random Lake, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Generations Family Dental Care-Random Lake, LLC was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.