Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Antisdel Dental Clinic, SC

Organization General Practice Dentistry · NPI 1649294257

Antisdel Dental Clinic, SC provides General Practice Dentistry in Saukville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

661 E Green Bay Ave
Saukville, WI 53080-2013
Phone: (262) 284-7111
Fax: (262) 284-1172
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2485-015 / 2486-015 (WI)

Record details

NPI number1649294257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Antisdel — President / Dentist · (262) 284-7111
NPI enumeratedJuly 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address661 E Green Bay Ave, Saukville, WI 53080-2013

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