DR. MARY GROTE
NPI 1740336114
Dentist - Oral and Maxillofacial Surgery in Beaver Dam, WI

Active since January 26, 2007
301 S ROOSEVELT DR, SUITE A, BEAVER DAM, WI 53916(920) 887-8423(920) 887-8471 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Grote NPPES

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

DR. MARY GROTE (NPI 1740336114) is a healthcare organization registered as an oral and maxillofacial surgery in Beaver Dam, Wisconsin and active in the NPI registry since January 2007. The organization lists Mary Grote, Owner, as its authorized official.

NPPES Registry Identity

NPI1740336114
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDR. MARY GROTE
Location Address301 S ROOSEVELT DR, SUITE ABeaver Dam, WI 53916-2439
Mailing Address301 S Roosevelt Dr, Suite ABeaver Dam, WI 53916-2439 · (920) 887-8423 · Fax (920) 887-8471
Fax(920) 887-8471
Organization SubpartNo
Authorized OfficialMary GroteOwner · (920) 887-8423
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1740336114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WI · 2582-015
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

301 S ROOSEVELT DR, Beaver Dam, WI 53916

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 4

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

Podiatrist (Foot & Ankle Surgery)
301 S ROOSEVELT DR
BEAVER DAM, WI 53916
Dentist (Oral and Maxillofacial Surgery)
301 S ROOSEVELT DR
BEAVER DAM, WI 53916
Dentist (Oral and Maxillofacial Surgery)
301 S ROOSEVELT DR, SUITE A
BEAVER DAM, WI 53916
Podiatrist (Primary Podiatric Medicine)
301 S ROOSEVELT DR
BEAVER DAM, WI 53916

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 Dr. Mary Grote's NPI number?

The NPI number for Dr. Mary Grote is 1740336114. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Dr. Mary Grote located?

Dr. Mary Grote is located at 301 S Roosevelt Dr Suite A, Beaver Dam, WI 53916. The listed phone number is (920) 887-8423.

What is Dr. Mary Grote's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dr. Mary Grote was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.