Mary A. Quinn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2431 Issued in WI

Practice address

6373 N Jean Nicolet Rd
#202
Glendale, WI 53217-4140

Phone

(414) 228-9680

NPI assigned

Apr 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restoration Dental LLC

  • Dental Clinic/Center
  • Glendale, WI
  • NPI 1487211447
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346203932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6373 N JEAN NICOLET RD",
            "address_2": "#202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174140",
            "telephone_number": "414-228-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6373 N JEAN NICOLET RD",
            "address_2": "#202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174140",
            "telephone_number": "414-228-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MARY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Family Pharmacy LLC
• Providence Pharmacy & Wellness
• Renata B Ptak, PA-C
• Joseph Puccinelli, M.D.
• Elishia L. Pulliam, MS, LPC
• R.E.a.C.H. Inc. Comprehensive Mental Health Clinic
• RDC Pharmacy LLC
• Reconnections
• Barbara Unger Rector, PT
• Reliable Medical Resources LLC

• General Practice Dentistry in Glendale, WI
• Providers in Glendale, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.

Verify at the official NPI Registry.