1. Home
  2. Directory
  3. Wisconsin
  4. Delavan
  5. Dentist
  6. NPI Profile

DELAVAN FAMILY DENTAL
NPI 1922490655
Dentist - General Practice in Delavan, WI

Active since March 04, 2015
614 E WALWORTH AVE, DELAVAN, WI 53115(262) 728-9117 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delavan Family Dental NPPES

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

DELAVAN FAMILY DENTAL (NPI 1922490655) is a healthcare organization registered as a general practice in Delavan, Wisconsin and active in the NPI registry since March 2015. The organization lists Genie Kuble, Contact Officer, as its authorized official.

NPPES Registry Identity

NPI1922490655
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDELAVAN FAMILY DENTAL
Location Address614 E WALWORTH AVEDelavan, WI 53115-1249
Mailing Address614 E Walworth AveDelavan, WI 53115-1249
Phone(262) 728-9117
Organization SubpartNo
Authorized OfficialGenie KubleContact Officer · (920) 450-0157
Enumeration DateMarch 4, 2015
✔ NPI 1922490655 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.
614 E WALWORTH AVE, Delavan, WI 53115
Open in Google Maps ↗

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.

DR. THOMAS J SCHUETZ D.D.S.
Dentist (General Practice)
614 E WALWORTH AVE
DELAVAN, WI 53115
Walworth County (262) 728-9117

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 Delavan Family Dental's NPI number?

The NPI number for Delavan Family Dental is 1922490655. It was assigned to this organization in the NPPES registry on March 4, 2015.

Where is Delavan Family Dental located?

Delavan Family Dental is located at 614 E Walworth Ave, Delavan, WI 53115. The listed phone number is (262) 728-9117.

What is Delavan Family Dental'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 Delavan Family Dental was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.