LAKE BREEZE DENTAL, LLC
NPI 1811871197
Clinic/Center - Dental in Manitowoc, WI

Active since August 01, 2025
3712 KADOW ST, MANITOWOC, WI 54220(920) 684-8033 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Breeze Dental, Llc NPPES

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

LAKE BREEZE DENTAL, LLC (NPI 1811871197) is a healthcare organization registered as a dental in Manitowoc, Wisconsin and active in the NPI registry since August 2025. The organization lists Adam Pasono, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1811871197
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE BREEZE DENTAL, LLC
Location Address3712 KADOW STManitowoc, WI 54220-5450
Mailing Address379 Clermont CtDe Pere, WI 54115-4075 · (920) 639-1215
Organization SubpartYesParent: The Pearl Group, Llc
Authorized OfficialAdam PasonoDentist/owner · (920) 639-1215
Enumeration DateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1811871197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3712 KADOW ST, Manitowoc, WI 54220

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.

Dentist (General Practice)
3712 KADOW ST
MANITOWOC, WI 54220
Dentist (General Practice)
3712 KADOW ST
MANITOWOC, WI 54220
Dentist (General Practice)
3712 KADOW ST
MANITOWOC, WI 54220
Dentist
3712 KADOW ST
MANITOWOC, WI 54220

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 Lake Breeze Dental, LLC's NPI number?

The NPI number for Lake Breeze Dental, LLC is 1811871197. It was assigned to this organization in the NPPES registry on August 1, 2025.

Where is Lake Breeze Dental, LLC located?

Lake Breeze Dental, LLC is located at 3712 Kadow St, Manitowoc, WI 54220. The listed phone number is (920) 684-8033.

What is Lake Breeze Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Breeze Dental, LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.