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LINCOLN AVE DENTAL GROUP SC
NPI 1861595324
Dentist - General Practice in Milwaukee, WI

Active since September 07, 2006
2700 W LINCOLN AVE, MILWAUKEE, WI 53215(414) 645-0217(414) 645-1502 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lincoln Ave Dental Group Sc NPPES

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

LINCOLN AVE DENTAL GROUP SC (NPI 1861595324) is a healthcare organization registered as a general practice in Milwaukee, Wisconsin and active in the NPI registry since September 2006. The organization lists Steven Raymond Kanugh, President Dentist, as its authorized official.

NPPES Registry Identity

NPI1861595324
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLINCOLN AVE DENTAL GROUP SC
Location Address2700 W LINCOLN AVEMilwaukee, WI 53215
Mailing Address2700 W Lincoln AveMilwaukee, WI 53215 · (414) 645-0217 · Fax (414) 645-1502
Phone(414) 645-0217
Fax(414) 645-1502
Organization SubpartNo
Authorized OfficialSteven Raymond KanughPresident Dentist · (414) 645-0217
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861595324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WI · 5266015✔ Licensed in WI · 3800015
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.
2700 W LINCOLN AVE, Milwaukee, WI 53215
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MILWAUKEE DENTAL ARTS LLC
Clinic/Center (Dental)
2700 W LINCOLN AVE
MILWAUKEE, WI 53215
Milwaukee County (262) 490-5802
DR. STEVEN RAYMOND KANUGH D.D.S.
Dentist (General Practice)
2700 W LINCOLN AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 645-0217
ALEJANDRO VARGAS DDS
Dentist
2700 W LINCOLN AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 645-0217

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 Lincoln Ave Dental Group Sc's NPI number?

The NPI number for Lincoln Ave Dental Group Sc is 1861595324. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Lincoln Ave Dental Group Sc located?

Lincoln Ave Dental Group Sc is located at 2700 W Lincoln Ave, Milwaukee, WI 53215. The listed phone number is (414) 645-0217.

What is Lincoln Ave Dental Group Sc'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 Lincoln Ave Dental Group Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.