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DENTAL 360 KENOSHA
NPI 1669199600
Dentist - General Practice in Kenosha, WI

Active since October 20, 2022
3726 ROOSEVELT RD, KENOSHA, WI 53142(262) 652-7956 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental 360 Kenosha NPPES

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

DENTAL 360 KENOSHA (NPI 1669199600) is a healthcare organization registered as a general practice in Kenosha, Wisconsin and active in the NPI registry since October 2022. The organization lists Ivana Bueno, Director, as its authorized official.

NPPES Registry Identity

NPI1669199600
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL 360 KENOSHA
Location Address3726 ROOSEVELT RDKenosha, WI 53142-1900
Mailing Address3726 Roosevelt RdKenosha, WI 53142-1900
Phone(262) 652-7956
Organization SubpartNo
Authorized OfficialIvana BuenoDirector · (773) 798-9382
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1669199600 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.
3726 ROOSEVELT RD, Kenosha, WI 53142
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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.

BRUCE F ANDREKUS, DDS,SC
Dentist (Dental Public Health)
3726 ROOSEVELT RD
KENOSHA, WI 53142
Kenosha County (262) 652-7956
DR. BRUCE FRANK ANDREKUS DDS
Dentist (General Practice)
3726 ROOSEVELT RD
KENOSHA, WI 53142
Kenosha County (262) 652-7956
DR. FARHEEN KHATOON DDS
Dentist (General Practice)
3726 ROOSEVELT RD
KENOSHA, WI 53142
Kenosha County (262) 652-7956

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 Dental 360 Kenosha's NPI number?

The NPI number for Dental 360 Kenosha is 1669199600. It was assigned to this organization in the NPPES registry on October 20, 2022.

Where is Dental 360 Kenosha located?

Dental 360 Kenosha is located at 3726 Roosevelt Rd, Kenosha, WI 53142. The listed phone number is (262) 652-7956.

What is Dental 360 Kenosha'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 Dental 360 Kenosha was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.