NPIMap

Organization Active NPI

Gentle Dental Management LLC

  • Dentist
  • West Bend, WI
National Provider Identifier
1154477818
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WI2517K Issued in WI
Legal business name
GENTLE DENTAL MANAGEMENT LLC
Practice address
2930 Cty Hwy NN
West Bend, WI 53095-9288
Phone
(262) 338-8704
Fax
(262) 338-9140
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Dr. Kristine Neuburg, DDSNPI 1033349956
Title
Owner
Phone
(262) 338-8704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X WI2517K WI Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X WI5624 WI

Addresses

Primary practice location

2930 Cty Hwy NN
West Bend, WI 53095-9288

Mailing address

2930 Cty Hwy NN
West Bend, WI 53095-9288
Phone (262) 338-8704

Other names 1

  • Gentle Dental Emporium Doing business as

National Provider Directory

National Provider Directory

Locations

2930 Cty Highway NN
West Bend, WI 53095
Phone (262) 338-8704

533 S Main St
West Bend, WI 53095
Phone (262) 338-8704

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1154477818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 CTY HWY NN",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959288",
            "telephone_number": "262-338-8704",
            "fax_number": "262-338-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CTY HWY NN",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959288",
            "telephone_number": "262-338-8704",
            "fax_number": "262-338-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "NEUBURG",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-338-8704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "WI2517K",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "WI5624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Emporium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.