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ANTISDEL DENTAL CLINIC, S.C.
NPI 1649294257
Dentist - General Practice in Saukville, WI

Active since July 27, 2006
661 E GREEN BAY AVE, SAUKVILLE, WI 53080(262) 284-7111(262) 284-1172 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antisdel Dental Clinic, S.c. NPPES

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

ANTISDEL DENTAL CLINIC, S.C. (NPI 1649294257) is a healthcare organization registered as a general practice in Saukville, Wisconsin and active in the NPI registry since July 2006. The organization lists Robert James Antisdel, President / Dentist, as its authorized official.

NPPES Registry Identity

NPI1649294257
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANTISDEL DENTAL CLINIC, S.C.
Location Address661 E GREEN BAY AVESaukville, WI 53080-2013
Mailing Address661 E Green Bay AveSaukville, WI 53080-2013 · (262) 284-7111 · Fax (262) 284-1172
Phone(262) 284-7111
Fax(262) 284-1172
Organization SubpartNo
Authorized OfficialRobert James AntisdelPresident / Dentist · 12622847111
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649294257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2485-015 / 2486-015
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.
661 E GREEN BAY AVE, Saukville, WI 53080
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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 3

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

SAUK TRAIL DENTAL LLC
Dentist (General Practice)
661 E GREEN BAY AVE
SAUKVILLE, WI 53080
Ozaukee County (262) 284-7111
DR. ROBERT JAMES ANTISDEL D.D.S.
Dentist (General Practice)
661 E GREEN BAY AVE
SAUKVILLE, WI 53080
Ozaukee County (262) 284-7111
DR. CAROL JEAN ANTISDEL D,D,S,
Dentist (General Practice)
661 E GREEN BAY AVE
SAUKVILLE, WI 53080
Ozaukee County (262) 284-7111

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 Antisdel Dental Clinic, S.C.'s NPI number?

The NPI number for Antisdel Dental Clinic, S.C. is 1649294257. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Antisdel Dental Clinic, S.C. located?

Antisdel Dental Clinic, S.C. is located at 661 E Green Bay Ave, Saukville, WI 53080. The listed phone number is (262) 284-7111.

What is Antisdel Dental Clinic, S.C.'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 Antisdel Dental Clinic, S.C. was last updated on August 22, 2020. 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.