ANTONOFF DENTAL, LLC
NPI 1417673310
Clinic/Center - Dental in Kenosha, WI

Active since October 13, 2022
6803 SHERIDAN RD, KENOSHA, WI 53143(262) 484-4356 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antonoff Dental, Llc NPPES

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

ANTONOFF DENTAL, LLC (NPI 1417673310), doing business as Modern Family Dentists, is a healthcare organization registered as a dental in Kenosha, Wisconsin and active in the NPI registry since October 2022. The organization lists Kenneth Antonoff, Dentists, as its authorized official.

NPPES Registry Identity

NPI1417673310
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANTONOFF DENTAL, LLC
Location Address6803 SHERIDAN RDKenosha, WI 53143-1321
Mailing Address6803 Sheridan RdKenosha, WI 53143-1321 · (262) 484-4356
Organization SubpartNo
Authorized OfficialKenneth AntonoffDentists · (414) 698-4324
Enumeration DateOctober 13, 2022
NPPES CertifiedJune 16, 2022
NPI 1417673310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
6803 SHERIDAN RD, Kenosha, WI 53143

Other Names 1

Doing Business AsModern Family Dentists

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.

Dentist (General Practice)
6803 SHERIDAN RD
KENOSHA, WI 53143
Dentist
6803 SHERIDAN RD
KENOSHA, WI 53143
Dentist (General Practice)
6803 SHERIDAN RD
KENOSHA, WI 53143

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 Antonoff Dental, LLC's NPI number?

The NPI number for Antonoff Dental, LLC is 1417673310. It was assigned to this organization in the NPPES registry on October 13, 2022. The provider is doing business as Modern Family Dentists.

Where is Antonoff Dental, LLC located?

Antonoff Dental, LLC is located at 6803 Sheridan Rd, Kenosha, WI 53143. The listed phone number is (262) 484-4356.

What is Antonoff Dental, LLC'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 Antonoff Dental, LLC was last updated on October 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.