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

The Grove Family Dental and Tmj Clinic, LLC

Organization Dentist · NPI 1295933430

The Grove Family Dental and Tmj Clinic, LLC provides Dentist services in Evansville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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

109 S Madison St
Evansville, WI 53536-1319 Not confirmed with CMS for 19 years — call before visiting
Phone: (608) 882-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4078 (WI)

Record details

NPI number1295933430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gernetzke — Member · (608) 882-4441
NPI enumeratedJuly 10, 2007
Last updated in NPPESJuly 10, 2007
Mailing address109 S Madison St, Evansville, WI 53536-1319

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