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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MODERN DENTAL CENTER OSHKOSH LLC
NPI 1538815733
Dentist in Oshkosh, WI

Active since February 25, 2022
1795 W POINTE DR, OSHKOSH, WI 54902(920) 235-6453 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Feb 25, 2022 (2 updates tracked since 2022).

About Modern Dental Center Oshkosh Llc NPPES

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

MODERN DENTAL CENTER OSHKOSH LLC (NPI 1538815733) is a healthcare organization registered as a dentist in Oshkosh, Wisconsin and active in the NPI registry since February 2022. The organization lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1538815733
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMODERN DENTAL CENTER OSHKOSH LLC
Location Address1795 W POINTE DROshkosh, WI 54902-4297
Mailing Address1795 W Pointe DrOshkosh, WI 54902-4297 · (920) 235-6453
Phone(920) 235-6453
Organization SubpartNo
Authorized OfficialVictoria JohnsonCro · (941) 444-0558
Enumeration DateFebruary 25, 2022
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1538815733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1795 W POINTE DR, Oshkosh, WI 54902
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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 2

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

DR. KURT A WALEJKO D.D.S.
Dentist
1795 W POINTE DR
OSHKOSH, WI 54902
Winnebago County (920) 235-6453
MDC OSHKOSH II, L.L.C.
Clinic/Center (Dental)
1795 W POINTE DR
OSHKOSH, WI 54902
Winnebago County (920) 235-6453

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 Modern Dental Center Oshkosh LLC's NPI number?

The NPI number for Modern Dental Center Oshkosh LLC is 1538815733. It was assigned to this organization in the NPPES registry on February 25, 2022.

Where is Modern Dental Center Oshkosh LLC located?

Modern Dental Center Oshkosh LLC is located at 1795 W Pointe Dr, Oshkosh, WI 54902. The listed phone number is (920) 235-6453.

What is Modern Dental Center Oshkosh LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Modern Dental Center Oshkosh LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.