911 DENTAL GROUP NPI 1235944190

NPI Information

  • NPI: 1235944190
  • Provider Name: 911 DENTAL GROUP
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 400 LAKE AVE
    RACINE, WI
    ZIP 53403
  • Phone: (262) 900-2191

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NPI Details

911 DENTAL GROUP is a dental clinic center in Racine, WI. 911 DENTAL GROUP NPI is 1235944190. The provider is registered as an organization entity type.

The provider's business location address is:

400 LAKE AVE
RACINE, WI
ZIP 53403-020
Phone: (262) 900-2191

The provider's authorized official is Nana Yaw Owusu .
The authorized official title is Ceo and has the following contact phone number (262) 900-2191.

The enumeration date for this NPI number is 2/10/2025 and was last updated on 2/10/2025.

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
1261QD0000XClinic/CenterDentalYes

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

NPI Synchronization or Removal

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