SOUTH SIDE GUADALUPE DENTAL CLINIC INC
NPI 1598922122
Dentist - General Practice in Milwaukee, WI

Q: What is South Side Guadalupe Dental Clinic Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 21, 2008

1112 S 3RD ST, MILWAUKEE, WI 53204(414) 643-8787(414) 643-9725 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About South Side Guadalupe Dental Clinic Inc NPPES

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

SOUTH SIDE GUADALUPE DENTAL CLINIC INC (NPI 1598922122) is a healthcare organization registered as a general practice in Milwaukee, Wisconsin and active in the NPI registry since May 2008. The organization lists Maria Leticia Monje, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1598922122

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTH SIDE GUADALUPE DENTAL CLINIC INC

Location Address1112 S 3RD STMilwaukee, WI 53204-2413

Mailing Address1112 S 3rd StMilwaukee, WI 53204-2413 · (414) 643-8787 · Fax (414) 643-9725

Phone(414) 643-8787

Fax(414) 643-9725

Organization SubpartNo

Authorized OfficialMaria Leticia MonjeClinic Manager · (414) 643-8787

Enumeration DateMay 21, 2008

✔ NPI 1598922122 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.

1112 S 3RD ST, Milwaukee, WI 53204

Open in Google Maps ↗

Other Identifiers 1

Medicaid38371500WI

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 MULTIPLE 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 South Side Guadalupe Dental Clinic Inc's NPI number?

The NPI number for South Side Guadalupe Dental Clinic Inc is 1598922122. It was assigned to this organization in the NPPES registry on May 21, 2008.

Where is South Side Guadalupe Dental Clinic Inc located?

South Side Guadalupe Dental Clinic Inc is located at 1112 S 3rd St, Milwaukee, WI 53204. The listed phone number is (414) 643-8787.

What is South Side Guadalupe Dental Clinic Inc'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 South Side Guadalupe Dental Clinic Inc was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.