PEERENBOOM DENTAL LLC
NPI 1558837658
Dentist in Wausau, WI

Q: What is Peerenboom Dental LLC's NPI number?

The NPI number for Peerenboom Dental LLC is 1558837658. It was assigned to this organization in the NPPES registry on October 17, 2018.

Q: What is Peerenboom Dental LLC's specialty?

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

Active since October 17, 2018

1 CORPORATE DR STE 100, WAUSAU, WI 54401(608) 833-2213 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peerenboom Dental Llc NPPES

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

PEERENBOOM DENTAL LLC (NPI 1558837658) is a healthcare organization registered as a dentist in Wausau, Wisconsin and active in the NPI registry since October 2018. The organization lists Olga Grenova, Dir Of Accounting, as its authorized official.

NPPES Registry Identity

NPI1558837658

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePEERENBOOM DENTAL LLC

Location Address1 CORPORATE DR STE 100Wausau, WI 54401-1724

Mailing Address8025 Excelsior DrMadison, WI 53717-1900 · (608) 833-2213

Phone(608) 833-2213

Organization SubpartNo

Authorized OfficialOlga GrenovaDir Of Accounting · (608) 833-2213

Enumeration DateOctober 17, 2018

✔ NPI 1558837658 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.

1 CORPORATE DR STE 100, Wausau, WI 54401

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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

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 Peerenboom Dental LLC's NPI number?

The NPI number for Peerenboom Dental LLC is 1558837658. It was assigned to this organization in the NPPES registry on October 17, 2018.

Where is Peerenboom Dental LLC located?

Peerenboom Dental LLC is located at 1 Corporate Dr Ste 100, Wausau, WI 54401. The listed phone number is (608) 833-2213.

What is Peerenboom Dental 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 Peerenboom Dental LLC was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.