GLENDALE DENTAL LLC
NPI 1710478557
Clinic/Center - Dental in Glendale, WI

Active since May 29, 2018
5150 N PORT WASHINGTON RD STE 201, GLENDALE, WI 53217(414) 964-8850(414) 964-8918 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glendale Dental Llc NPPES

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

GLENDALE DENTAL LLC (NPI 1710478557) is a healthcare organization registered as a dental in Glendale, Wisconsin and active in the NPI registry since May 2018. The organization lists Christopher Potrykus, Owner, as its authorized official.

NPPES Registry Identity

NPI1710478557
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGLENDALE DENTAL LLC
Location Address5150 N PORT WASHINGTON RD STE 201Glendale, WI 53217-5400
Mailing Address920 Indian Spring DrDelafield, WI 53018-2242 · (262) 873-0510
Fax(414) 964-8918
Organization SubpartNo
Authorized OfficialChristopher PotrykusOwner · (262) 646-2771
Enumeration DateMay 29, 2018
NPI 1710478557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in WI · 6886
5150 N PORT WASHINGTON RD STE 201, Glendale, WI 53217

Accepted Insurance

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.

Dentist (General Practice)
5150 N PORT WASHINGTON RD STE 201
GLENDALE, WI 53217
Dentist (General Practice)
5150 N PORT WASHINGTON RD STE 201
MILWAUKEE, WI 53217
Dentist
5150 N PORT WASHINGTON RD STE 201
GLENDALE, WI 53217

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 Glendale Dental LLC's NPI number?

The NPI number for Glendale Dental LLC is 1710478557. It was assigned to this organization in the NPPES registry on May 29, 2018.

Where is Glendale Dental LLC located?

Glendale Dental LLC is located at 5150 N Port Washington Rd Ste 201, Glendale, WI 53217. The listed phone number is (414) 964-8850.

What is Glendale Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Glendale Dental LLC accept?

Health plans from Humana and UnitedHealthcare list Glendale Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glendale Dental LLC was last updated on May 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.