DR. MARY GROTE NPI 1740336114

NPI Information

  • NPI: 1740336114
  • Provider Name: DR. MARY GROTE
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 301 S ROOSEVELT DR
    SUITE A
    BEAVER DAM, WI
    ZIP 53916
  • Phone: (920) 887-8423

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NPI Details

DR. MARY GROTE is an oral and maxillofacial surgery dentist in Beaver Dam, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. MARY GROTE NPI is 1740336114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 S ROOSEVELT DR
SUITE A
BEAVER DAM, WI
ZIP 53916-439
Phone: (920) 887-8423
Fax: (920) 887-8471

The provider's authorized official is Mary Grote .
The authorized official title is Owner and has the following contact phone number (920) 887-8423.

The enumeration date for this NPI number is 1/26/2007 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
11223S0112XDentistOral and Maxillofacial Surgery2582-015WISCONSINYes

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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