NORTH LAKE FAMILY DENTISTRY NPI 1366840456

NPI Information

  • NPI: 1366840456
  • Provider Name: NORTH LAKE FAMILY DENTISTRY
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: W315N7641 HWY 83
    HARTLAND, WI
    ZIP 53029
  • Phone: (262) 966-7668

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NPI Details

NORTH LAKE FAMILY DENTISTRY is a dental clinic center in Hartland, WI. NORTH LAKE FAMILY DENTISTRY NPI is 1366840456. The provider is registered as an organization entity type.

The provider's business location address is:

W315N7641 HWY 83
HARTLAND, WI
ZIP 53029-759
Phone: (262) 966-7668

The provider's authorized official is Patty R Erickson .
The authorized official title is Owner and has the following contact phone number (262) 966-7668.

The enumeration date for this NPI number is 12/5/2014 and was last updated on 12/5/2014.

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/CenterDental6346WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11982723920OTHERWISCONSINNPI

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: 3/30/2025

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