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KEWASKUM FAMILY DENTISTRY
NPI 1558017426
Dentist - General Practice in Kewaskum, WI

Active since March 01, 2022
1721 FOND DU LAC AVE, KEWASKUM, WI 53040(262) 626-2119 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 4, 2024, Mar 1, 2022 (2 updates tracked since 2022).

About Kewaskum Family Dentistry NPPES

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

KEWASKUM FAMILY DENTISTRY (NPI 1558017426) is a healthcare organization registered as a general practice in Kewaskum, Wisconsin and active in the NPI registry since March 2022. The organization lists Sara Klasinski, Owner, as its authorized official.

NPPES Registry Identity

NPI1558017426
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEWASKUM FAMILY DENTISTRY
Location Address1721 FOND DU LAC AVEKewaskum, WI 53040-8954
Mailing Address1204 Fond Du Lac AveKewaskum, WI 53040-8954 · (262) 626-2119
Phone(262) 626-2119
Organization SubpartNo
Authorized OfficialSara KlasinskiOwner · (262) 626-2119
Enumeration DateMarch 1, 2022
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1558017426 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.
1721 FOND DU LAC AVE, Kewaskum, WI 53040
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Other Names 1

Doing Business AsKewaskum Family Dentistry

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.

DR. GREGORY BELL
Dentist
1721 FOND DU LAC AVE
KEWASKUM, WI 53040
Washington County (262) 626-2119

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 Kewaskum Family Dentistry's NPI number?

The NPI number for Kewaskum Family Dentistry is 1558017426. It was assigned to this organization in the NPPES registry on March 1, 2022.

Where is Kewaskum Family Dentistry located?

Kewaskum Family Dentistry is located at 1721 Fond Du Lac Ave, Kewaskum, WI 53040. The listed phone number is (262) 626-2119.

What is Kewaskum Family Dentistry'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 Kewaskum Family Dentistry was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.