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DR. KELLY GRUETZMACHER GROSKOPF D.D.S.
NPI 1962850701
Dentist - General Practice in Oconomowoc, WI

Active since June 02, 2016
W381N8165 ROLLING RIVER CIR, OCONOMOWOC, WI 53066(715) 459-3222 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Gruetzmacher Groskopf D.d.s. NPPES

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

DR. KELLY GRUETZMACHER GROSKOPF D.D.S. (NPI 1962850701) is an individual general practice provider in Oconomowoc, Wisconsin, licensed in Wisconsin (1001308-15) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1962850701
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY GRUETZMACHER GROSKOPFCredential: D.D.S.
Location AddressW381N8165 ROLLING RIVER CIROconomowoc, WI 53066-8950
Mailing Address1951 Commerce PkwyFort Atkinson, WI 53538-3139 · (920) 563-4415
Phone(715) 459-3222
Sole ProprietorYes
Enumeration DateJune 2, 2016
Last NPPES UpdateMarch 3, 2017
✔ NPI 1962850701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 1001308-15
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.
W381N8165 ROLLING RIVER CIR, Oconomowoc, WI 53066
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Other Names 1

Former Name (1)Dr. Kelly Marie Gruetzmacher D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Kelly Groskopf's NPI number?

The NPI number for Kelly Groskopf is 1962850701. It was assigned to this individual provider in the NPPES registry on June 2, 2016. The provider is also known as Dr. Kelly Marie Gruetzmacher D.D.S..

Where is Kelly Groskopf located?

Kelly Groskopf practices at W381n8165 Rolling River Cir, Oconomowoc, WI 53066. The listed phone number is (715) 459-3222.

What is Kelly Groskopf's specialty?

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

What insurance does Kelly Groskopf accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 1 other insurer list Kelly Groskopf 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 Kelly Groskopf was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.