Lance R. Orlinski, D.D.S.
Individual provider Active NPI Dentist · Lakewood, WI
NPI 1417199282 · NPPES record last updated Apr 17, 2009
Key facts
- NPI
- 1417199282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5002137 (WI)
- Practice address
- 15397 State Highway 32
Lakewood, WI 54138-9702 - Phone
- (715) 276-6321
- Fax
- (715) 276-1428
- NPI assigned
- Mar 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5002137 | WI | Yes |
Addresses
Primary practice location
15397 State Highway 32
Lakewood, WI 54138-9702
Mailing address
15397 State Highway 32
Lakewood, WI 54138-9702
Phone (715) 276-6321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5002137 | Other | WI | LICENSE #5002137 |
Other providers in Lakewood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.