GARY L KAEFER DDS SC NPI 1508949082

NPI Information

  • NPI: 1508949082
  • Provider Name: GARY L KAEFER DDS SC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 302 SOUTH PINE ST
    GRANTSBURG, WI
    ZIP 54840
  • Phone: (715) 463-2882

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NPI Details

GARY L KAEFER DDS SC is a general practice dentist in Grantsburg, 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. GARY L KAEFER DDS SC NPI is 1508949082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 SOUTH PINE ST
GRANTSBURG, WI
ZIP 54840
Phone: (715) 463-2882
Fax: (715) 463-2885

The provider's authorized official is Gary L Kaefer .
The authorized official title is Owner and has the following contact phone number (715) 463-2882.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.

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 Practice5001913WISCONSINYes

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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