Active NPI
Dennis M Connolly, DDS MS
- Periodontics
- Kenosha, WI
National Provider Identifier
1245215128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 50008894
- Practice address
- 2901 35TH St
Kenosha, WI 53140-5119 - Phone
- (262) 658-3488
- Fax
- (262) 658-3433
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 50008894 | WI | Primary |
Addresses
Primary practice location
2901 35TH St
Kenosha, WI 53140-5119
Mailing address
2901 35TH St
Kenosha, WI 53140-5119
Phone (262) 658-3488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50008894 | WI | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245215128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 35TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531405119",
"telephone_number": "262-658-3488",
"fax_number": "262-658-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 35TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531405119",
"telephone_number": "262-658-3488",
"fax_number": "262-658-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "DENNIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WI",
"license": "50008894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.