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IDENTAL LLC
NPI 1861867947
Dentist in Mt Pleasant, WI

Active since December 01, 2015
1320 S GREEN BAY RD, MT PLEASANT, WI 53406(847) 561-1424 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idental Llc NPPES

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

IDENTAL LLC (NPI 1861867947) is a healthcare organization registered as a dentist in Mt Pleasant, Wisconsin and active in the NPI registry since December 2015. The organization lists Vivek Vasudeva, Co-ceo, as its authorized official.

NPPES Registry Identity

NPI1861867947
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIDENTAL LLC
Location Address1320 S GREEN BAY RDMt Pleasant, WI 53406-4406
Mailing Address1320 S Green Bay RdMt Pleasant, WI 53406-4406
Phone(847) 561-1424
Organization SubpartNo
Authorized OfficialVivek VasudevaCo-ceo · (847) 561-1424
Enumeration DateDecember 1, 2015
✔ NPI 1861867947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1320 S GREEN BAY RD, Mt Pleasant, WI 53406
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Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

TAMI MARIE CHRISTENSEN RDH
Dental Hygienist
1320 S GREEN BAY RD
MOUNT PLEASANT, WI 53406
Racine County (262) 223-0280
DR. DAVID EUGENE NELSON DDS
Dentist
1320 S GREEN BAY RD
MOUNT PLEASANT, WI 53406
Racine County (262) 223-0280
JEANNIE LEDWITCH RDH
Dental Hygienist
1320 S GREEN BAY RD
MOUNT PLEASANT, WI 53406
Racine County (262) 223-0280
MRS. CHELSEA LOGAN CHATMAN-ZIERK RDH
Dental Hygienist
1320 S GREEN BAY RD
MOUNT PLEASANT, WI 53406
Racine County (262) 223-0280
NICOLE MARIE HARTMAN
Physical Therapy Assistant
1320 S GREEN BAY RD
MT PLEASANT, WI 53406
Racine County (262) 886-3431
ROXANN NAUMAN
Speech-Language Pathologist
1320 S GREEN BAY RD
MOUNT PLEASANT, WI 53406
Racine County (262) 886-3431
KRISTINE BLUMM
Dental Hygienist
1320 S GREEN BAY RD
MOUNT PLEASANT, WI 53406
Racine County (262) 223-0280
LATASHA MILLS
Dental Hygienist
1320 S GREEN BAY RD
MOUNT PLEASANT, WI 53406
Racine County (262) 223-0280

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 Idental LLC's NPI number?

The NPI number for Idental LLC is 1861867947. It was assigned to this organization in the NPPES registry on December 1, 2015.

Where is Idental LLC located?

Idental LLC is located at 1320 S Green Bay Rd, Mt Pleasant, WI 53406. The listed phone number is (847) 561-1424.

What is Idental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Idental LLC accept?

Health plans from UnitedHealthcare list Idental LLC 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 Idental LLC was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.