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ADVANCED DENTAL SPECIALISTS, LLC
NPI 1417605312
Dentist - General Practice in Mount Pleasant, WI

Active since March 10, 2022
6218 WASHINGTON AVE STE C, MOUNT PLEASANT, WI 53406(262) 465-4232(262) 465-4562 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Advanced Dental Specialists, Llc NPPES

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

ADVANCED DENTAL SPECIALISTS, LLC (NPI 1417605312), doing business as Advanced Dental Specialists Racine, is a healthcare organization registered as a general practice in Mount Pleasant, Wisconsin and active in the NPI registry since March 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1417605312
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANCED DENTAL SPECIALISTS, LLC
Location Address6218 WASHINGTON AVE STE CMount Pleasant, WI 53406-3916
Mailing Address6218 Washington Ave Ste CMount Pleasant, WI 53406-3916 · (262) 465-4232 · Fax (262) 465-4562
Phone(262) 465-4232
Fax(262) 465-4562
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1417605312 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.
6218 WASHINGTON AVE STE C, Mount Pleasant, WI 53406
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Other Names 1

Doing Business AsAdvanced Dental Specialists Racine

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

WISCONSIN DENTAL GROUP, S.C.
Dentist (Endodontics)
6218 WASHINGTON AVE STE C
RACINE, WI 53406
Racine County (262) 886-1300
GULJEMAL GOCHOVA
Dentist
6218 WASHINGTON AVE STE C
MOUNT PLEASANT, WI 53406
Racine County (262) 886-1300

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 Advanced Dental Specialists, LLC's NPI number?

The NPI number for Advanced Dental Specialists, LLC is 1417605312. It was assigned to this organization in the NPPES registry on March 10, 2022. The provider is doing business as Advanced Dental Specialists Racine.

Where is Advanced Dental Specialists, LLC located?

Advanced Dental Specialists, LLC is located at 6218 Washington Ave Ste C, Mount Pleasant, WI 53406. The listed phone number is (262) 465-4232.

What is Advanced Dental Specialists, LLC's specialty?

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

What insurance does Advanced Dental Specialists, LLC accept?

Health plans from UnitedHealthcare list Advanced Dental Specialists, LLC 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 Advanced Dental Specialists, LLC was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.