The Kids Dentist LLC
The Kids Dentist LLC provides Pediatric Dentistry in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.
- Licensed in
- WI
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10618 N Port Washington RdMequon, WI 53092-5013 Not confirmed with CMS for 12 years — call before visiting
Phone: (262) 241-0400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 5127-015 (WI) |
|---|
Record details
| NPI number | 1407257108 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Fisher — Owner · (262) 241-0400 |
| NPI enumerated | September 12, 2014 |
| Last updated in NPPES | September 12, 2014 |
| Mailing address | 10618 N Port Washington Rd, Mequon, WI 53092-5013 |
Other providers in Mequon
-
Dr. Elizabeth Diana Scheinthal, DMD
10618 N Port Washington Rd, Mequon, WI 53092-5013 · (262) 241-0400