Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Wisconsin Upper Peninsula Dental PC

Organization Dentist · NPI 1215194832

Northwest Wisconsin Upper Peninsula Dental PC provides Dentist services in Menominee, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4103 10th St
Menominee, MI 49858-1309 Not confirmed with CMS for 18 years — call before visiting
Phone: (906) 863-2206
Fax: (906) 863-6389
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901010258 (MI)
Dentist Taxonomy 122300000X · Licence 2901017418 (MI)

Record details

NPI number1215194832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Park — Half Owner · (906) 863-2206
Other names N E W Up Dental
NPI enumeratedMay 21, 2008
Last updated in NPPESMay 21, 2008
Mailing address4103 10th St, Menominee, MI 49858-1309

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