INTEGRATIVE DENTAL SOLUTIONS LLC NPI 1316315351

NPI Information

  • NPI: 1316315351
  • Provider Name: INTEGRATIVE DENTAL SOLUTIONS LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: N35W23770 CAPITOL DR STE E
    PEWAUKEE, WI
    ZIP 53072
  • Phone: (262) 691-4555

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NPI Details

INTEGRATIVE DENTAL SOLUTIONS LLC is a customized equipment durable medical equipment medical supplies in Pewaukee, WI. INTEGRATIVE DENTAL SOLUTIONS LLC NPI is 1316315351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

N35W23770 CAPITOL DR STE E
PEWAUKEE, WI
ZIP 53072-639
Phone: (262) 691-4555
Fax: (262) 691-4579

The provider's authorized official is Supriya Shetty .
The authorized official title is Owner and has the following contact phone number (262) 691-4555.

The enumeration date for this NPI number is 9/8/2015 and was last updated on 9/8/2015.

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
1122300000XDentistNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

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This page was last updated on: 11/21/2025

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