TWIN PORTS DENTAL NPI 1114230968

NPI Information

  • NPI: 1114230968
  • Provider Name: TWIN PORTS DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1507 TOWER AVE
    ROOM 427
    SUPERIOR, WI
    ZIP 54880
  • Phone: (715) 394-5792

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NPI Details

TWIN PORTS DENTAL is a general practice dentist in Superior, 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. TWIN PORTS DENTAL NPI is 1114230968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1507 TOWER AVE
ROOM 427
SUPERIOR, WI
ZIP 54880-532
Phone: (715) 394-5792

The provider's authorized official is Genie Kuble .
The authorized official title is Contact Officer and has the following contact phone number (920) 450-0157.

The enumeration date for this NPI number is 7/22/2010 and was last updated on 7/22/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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