PRAIRIE RIDGE DENTAL CARE
NPI 1891117495
Dentist - General Practice in Pleasant Prairie, WI

Active since January 16, 2014
10288 77TH ST, SUITE 300, PLEASANT PRAIRIE, WI 53158(262) 612-3325 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prairie Ridge Dental Care NPPES

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

PRAIRIE RIDGE DENTAL CARE (NPI 1891117495) is a healthcare organization registered as a general practice in Pleasant Prairie, Wisconsin and active in the NPI registry since January 2014. The organization lists Lindsay Bearden, Insurance/credentialing, as its authorized official.

NPPES Registry Identity

NPI1891117495
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameQUIRT FAMILY DENTISTRY, SC
Location Address10288 77TH ST, SUITE 300Pleasant Prairie, WI 53158-1142
Mailing Address10288 77th St, Suite 300Pleasant Prairie, WI 53158-1142 · (262) 612-3325
Organization SubpartYes
Authorized OfficialLindsay BeardenInsurance/credentialing · (217) 540-5100
Enumeration DateJanuary 16, 2014
NPI 1891117495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

10288 77TH ST, Pleasant Prairie, WI 53158

Other Names 1

Doing Business AsPrairie Ridge Dental Care

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist
10288 77TH ST, SUITE 300
PLEASANT PRAIRIE, WI 53158

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891117495, enumerated as an "organization" on January 16, 2014.

The provider is located at 10288 77TH ST SUITE 300 PLEASANT PRAIRIE, WI 53158 and the phone number is (262) 612-3325.

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