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

Old Oaks Dental LLC

Organization General Practice Dentistry · NPI 1093446163

Old Oaks Dental LLC provides General Practice Dentistry in Pleasant Prairie, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9809 39th Ave Ste 1
Pleasant Prairie, WI 53158-3733
Phone: (715) 573-3868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1093446163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Bushong — Owner · (715) 573-3868
NPI enumeratedJune 20, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address9809 39th Ave Ste 1, Pleasant Prairie, WI 53158-3733

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