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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: August 09, 2026.

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

About Northside Kenosha Dental NPPES

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

NORTHSIDE KENOSHA DENTAL (NPI 1861046047) is a healthcare organization registered as a general practice in Kenosha, Wisconsin and active in the NPI registry since July 2019. The organization lists Sharon L Loso, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1861046047
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAPPLEWHITE DENTAL WISCONSIN, P.C.
Location Address2600 22ND AVEKenosha, WI 53140-4813
Mailing Address40 Main St Ste 100Dubuque, IA 52001-7654 · (563) 582-1448
Phone(262) 658-1410
Organization SubpartYesParent: Applewhite Dental Partners
Authorized OfficialSharon L LosoCredentialing Specialist · (563) 582-1448
Enumeration DateJuly 26, 2019
Last NPPES UpdateJuly 29, 20192 updates tracked since enumeration
✔ NPI 1861046047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentistTaxonomy 122300000X
2600 22ND AVE, Kenosha, WI 53140
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Other Names 1

Doing Business AsNorthside Kenosha Dental

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
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 3

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

DR. MICHAEL ANTHONY WALSH D.D.S.
Dentist (General Practice)
2600 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 658-1410
MICHAEL A WALSH DDS SC
Dentist (General Practice)
2600 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 658-1410
ANNE R LAKAYIL DDS
Dentist (General Practice)
2600 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 658-1410

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 Applewhite Dental Wisconsin, P.C.'s NPI number?

The NPI number for Applewhite Dental Wisconsin, P.C. is 1861046047. It was assigned to this organization in the NPPES registry on July 26, 2019. The provider is doing business as Northside Kenosha Dental.

Where is Applewhite Dental Wisconsin, P.C. located?

Applewhite Dental Wisconsin, P.C. is located at 2600 22nd Ave, Kenosha, WI 53140. The listed phone number is (262) 658-1410.

What is Applewhite Dental Wisconsin, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Applewhite Dental Wisconsin, P.C. was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.