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

Kewaskum Family Dentistry

Organization General Practice Dentistry · NPI 1558017426

Kewaskum Family Dentistry provides General Practice Dentistry in Kewaskum, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1721 Fond Du Lac Ave
Kewaskum, WI 53040-8954
Phone: (262) 626-2119
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 number1558017426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Klasinski — Owner · (262) 626-2119
Other names Kewaskum Family Dentistry; Kewaskum Family Dentistry
NPI enumeratedMarch 1, 2022
Last updated in NPPESNovember 4, 2024
Certification dateOctober 31, 2024
Mailing address1204 Fond Du Lac Ave, Kewaskum, WI 53040-8954

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