Provider Type Icon

LAURA A GUTTORMSEN DDS LLC NPI 1215450531


NPI Information

NPI: 1215450531
Provider Name: LAURA A GUTTORMSEN DDS LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6402 SHERIDAN RD
KENOSHA, WI
ZIP 53143
Phone: (262) 654-2261
Get Directions

LAURA A GUTTORMSEN DDS LLC is a general practice dentist in Kenosha, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LAURA A GUTTORMSEN DDS LLC NPI is 1215450531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6402 SHERIDAN RD
KENOSHA, WI
ZIP 53143-028
Phone: (262) 654-2261
Fax: (262) 657-6933

The provider's authorized official is Laura A Guttormsen .
The authorized official title is General Denist/officer and has the following contact phone number (262) 945-7970.

The enumeration date for this NPI number is 7/18/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist6307-15No
21223G0001XDentistGeneral Practice6307-15Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.