LAKE COUNTRY DENTISTRY, L.L.C.
NPI 1487868493
Clinic/Center - Dental in Oconomowoc, WI

Active since May 09, 2007
175 E WISCONSIN AVE, OCONOMOWOC, WI 53066(262) 567-6003(262) 567-6018 Get Directions Write a Review

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

About Lake Country Dentistry, L.l.c. NPPES

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

LAKE COUNTRY DENTISTRY, L.L.C. (NPI 1487868493) is a healthcare organization registered as a dental in Oconomowoc, Wisconsin and active in the NPI registry since May 2007. The organization lists James Jon Cotey, General Manager, as its authorized official.

NPPES Registry Identity

NPI1487868493
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE COUNTRY DENTISTRY, L.L.C.
Location Address175 E WISCONSIN AVEOconomowoc, WI 53066-3057
Mailing Address175 E Wisconsin AveOconomowoc, WI 53066-3057 · (262) 567-6003 · Fax (262) 567-6018
Fax(262) 567-6018
Organization SubpartNo
Authorized OfficialJames Jon CoteyGeneral Manager · (262) 567-6003
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1487868493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
175 E WISCONSIN AVE, Oconomowoc, WI 53066

Other Providers at the Same Location NPPES

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

Dentist
175 E WISCONSIN AVE, SUITE F
OCONOMOWOC, WI 53066

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 Lake Country Dentistry, L.L.C.'s NPI number?

The NPI number for Lake Country Dentistry, L.L.C. is 1487868493. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Lake Country Dentistry, L.L.C. located?

Lake Country Dentistry, L.L.C. is located at 175 E Wisconsin Ave, Oconomowoc, WI 53066. The listed phone number is (262) 567-6003.

What is Lake Country Dentistry, L.L.C.'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 Lake Country Dentistry, L.L.C. 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.