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

Kenosha Family Dentistry

Organization General Practice Dentistry · NPI 1033941067

Kenosha Family Dentistry provides General Practice Dentistry in Kenosha, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5707 75th St
Kenosha, WI 53142-3603
Phone: (262) 697-0321
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1033941067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tejpal Athwal — Owner/Employee · (262) 697-0321
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 18, 2024
Mailing address5707 75th St, Kenosha, WI 53142-3603

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