WAUWATOSA FAMILY DENTAL
NPI 1821580572
Clinic/Center - Dental in Wauwatosa, WI

Active since May 30, 2018
11904 W NORTH AVE STE 105, WAUWATOSA, WI 53226(414) 454-0700(414) 778-0705 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Wauwatosa Family Dental NPPES

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

WAUWATOSA FAMILY DENTAL (NPI 1821580572) is a healthcare organization registered as a dental in Wauwatosa, Wisconsin and active in the NPI registry since May 2018. The organization lists Christopher Potrykus, Owner, as its authorized official.

NPPES Registry Identity

NPI1821580572
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWAUWATOSA FAMILY DENTAL
Location Address11904 W NORTH AVE STE 105Wauwatosa, WI 53226-2062
Mailing Address920 Indian Spring DrDelafield, WI 53018-2242 · (262) 646-2771
Fax(414) 778-0705
Organization SubpartNo
Authorized OfficialChristopher PotrykusOwner · (262) 646-2771
Enumeration DateMay 30, 2018
✔ NPI 1821580572 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
11904 W NORTH AVE STE 105, Wauwatosa, WI 53226

Accepted Insurance

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
11904 W NORTH AVE STE 105
WAUWATOSA, WI 53226
Dentist (General Practice)
11904 W NORTH AVE STE 105
WAUWATOSA, WI 53226
Dentist (General Practice)
11904 W NORTH AVE STE 105
WAUWATOSA, WI 53226
Dentist (General Practice)
11904 W NORTH AVE STE 105
WAUWATOSA, WI 53226

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 Wauwatosa Family Dental's NPI number?

The NPI number for Wauwatosa Family Dental is 1821580572. It was assigned to this organization in the NPPES registry on May 30, 2018.

Where is Wauwatosa Family Dental located?

Wauwatosa Family Dental is located at 11904 W North Ave Ste 105, Wauwatosa, WI 53226. The listed phone number is (414) 454-0700.

What is Wauwatosa Family Dental's specialty?

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

What insurance does Wauwatosa Family Dental accept?

Health plans from UnitedHealthcare list Wauwatosa Family Dental 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 Wauwatosa Family Dental was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.