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

Wisconsin Children's General Anesthesia Dentistry, LLC

Organization Dentist · NPI 1629816087

Wisconsin Children's General Anesthesia Dentistry, LLC provides Dentist services in Glendale, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
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

7007 N Range Line Rd
Glendale, WI 53209-2620
Phone: (301) 494-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1629816087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffery Wheeler — Ceo · (301) 494-3000
NPI enumeratedJuly 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address1220 Caraway Ct Ste 1050, Upper Marlboro, MD 20774-5338

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