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

Lifetime Dental Care of Wisconsin, SC

Organization General Practice Dentistry · NPI 1558975177

Lifetime Dental Care of Wisconsin, SC provides General Practice Dentistry in Salem, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

24418 75th St
Salem, WI 53168-9703
Phone: (262) 843-2004
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 number1558975177
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeartland Dental
Authorized official Courtney Monteith — Credentialing Coordinator · (217) 540-8306
Other names Jeffrey L. Sorensen, Dds
NPI enumeratedSeptember 1, 2020
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address24418 75th St, Salem, WI 53168-9703

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