NPIMap

Organization Active NPI

Mequon Dental Arts LLC

  • General Practice Dentistry
  • Mequon, WI
National Provider Identifier
1013837012
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MEQUON DENTAL ARTS LLC
Practice address
10033 N PT Washington Rd Ste 150
Mequon, WI 53092-5761
Phone
(262) 241-5558
NPI assigned
Jul 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Michael Glincher
Title
Office Administrator
Phone
(262) 241-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10033 N PT Washington Rd Ste 150
Mequon, WI 53092-5761

Mailing address

10033 N PT Washington Rd Ste 150
Mequon, WI 53092-5761
Phone (262) 241-5558

National Provider Directory

National Provider Directory

Locations

10033 N Point Washington Rd
Ste 150
Mequon, WI 53092

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1013837012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10033 N PT WASHINGTON RD STE 150",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925761",
            "telephone_number": "262-241-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10033 N PT WASHINGTON RD STE 150",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925761",
            "telephone_number": "262-241-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEQUON DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "GLINCHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "262-241-5558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.