Jacob Scholz

Individual provider Active NPI General Practice Dentistry · Slinger, WI

NPI 1093554818 · NPPES record last updated Jan 5, 2026

Key facts

NPI
1093554818
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6001494-15 (WI)
Practice address
2020 American Eagle Dr
Slinger, WI 53086-9167
Phone
(262) 644-7400
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6001494-15WIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6001494-15 WI Yes

Addresses

Primary practice location

2020 American Eagle Dr
Slinger, WI 53086-9167

Mailing address

6244 N Bay Ridge Ave
Whitefish Bay, WI 53217-4327
Phone (414) 248-1363

Other providers in Slinger, WI

All providers in Slinger, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.