NORTHSIDE KENOSHA DENTAL
NPI 1861046047
Dentist - General Practice in Kenosha, WI

Active since July 26, 2019
2600 22ND AVE, KENOSHA, WI 53140(262) 658-1410 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2019, Jul 26, 2019 (2 updates tracked since 2019).

  • Organization
  • Dentist
  • General Practice

About NORTHSIDE KENOSHA DENTAL

This page provides the complete NPI Profile along with additional information for Northside Kenosha Dental, a provider established in Kenosha, Wisconsin operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1861046047 assigned on July 2019. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Northside Kenosha Dental. The authorized official of this NPI record is Sharon L Loso (Credentialing Specialist)

NPI
1861046047 Verify this NPI
Provider Legal Name
APPLEWHITE DENTAL WISCONSIN, P.C.
Other Organization Name
NORTHSIDE KENOSHA DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2600 22ND AVE KENOSHA, WI 53140
Location Phone
(262) 658-1410
Mailing Address
40 MAIN ST STE 100 DUBUQUE, IA 52001
Mailing Phone
(563) 582-1448
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-26-2019
Last Update Date
07-29-2019
Code Navigator

A dentist like Northside Kenosha Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHARON L LOSO

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(563) 582-1448

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
2600 22ND AVE
KENOSHA, WI 53140
Dentist (General Practice)
2600 22ND AVE
KENOSHA, WI 53140
Dentist (General Practice)
2600 22ND AVE
KENOSHA, WI 53140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861046047, enumerated as an "organization" on July 26, 2019.

The provider is located at 2600 22ND AVE KENOSHA, WI 53140 and the phone number is (262) 658-1410.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.