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MEQUONCTD1 LLC
NPI 1588249148
Dentist in Mequon, WI

Active since March 16, 2021
7604 W MEQUON RD, MEQUON, WI 53097(262) 242-8929 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mequonctd1 Llc NPPES

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

MEQUONCTD1 LLC (NPI 1588249148) is a healthcare organization registered as a dentist in Mequon, Wisconsin and active in the NPI registry since March 2021. The organization lists Mitchell Weiland, Assistant Controller, as its authorized official.

NPPES Registry Identity

NPI1588249148
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMEQUONCTD1 LLC
Location Address7604 W MEQUON RDMequon, WI 53097-3215
Mailing Address8025 Excelsior Dr Ste 103Madison, WI 53717-2902 · (608) 343-0818
Phone(262) 242-8929
Organization SubpartNo
Authorized OfficialMitchell WeilandAssistant Controller · (608) 343-0818
Enumeration DateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1588249148 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.
7604 W MEQUON RD, Mequon, WI 53097
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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. DENNIS WALTER ENGEL DDS
Dentist
7604 W MEQUON RD
MEQUON, WI 53097
Ozaukee County (262) 242-8929
DR. SCOTT A. RENNICKE D.D.S.
Dentist (General Practice)
7604 W MEQUON RD
MEQUON, WI 53097
Ozaukee County (262) 242-8929

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 Mequonctd1 LLC's NPI number?

The NPI number for Mequonctd1 LLC is 1588249148. It was assigned to this organization in the NPPES registry on March 16, 2021.

Where is Mequonctd1 LLC located?

Mequonctd1 LLC is located at 7604 W Mequon Rd, Mequon, WI 53097. The listed phone number is (262) 242-8929.

What is Mequonctd1 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 Mequonctd1 LLC was last updated on March 16, 2021. 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.