Bailey a Youngblade, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BAILEY A YOUNGBLADE, LLC

Doing business as

Ostrand Family Dentistry

Practice address

617 Ryan St
Pewaukee, WI 53072-1800

Phone

(262) 695-8600

NPI assigned

May 5, 2025

Last updated

May 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bailey Youngblade, DDSNPI 1508540147

Title

Owner

Phone

(515) 339-9655

Specialties & licenses 1

Addresses

Other names 1

• Ostrand Family Dentistry Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bailey Youngblade, DDS

  • Dentist
  • Pewaukee, WI
  • NPI 1508540147
  Authorized official Same address or phone
• Gina Foti Ostrand, DDS

  • General Practice Dentistry
  • Pewaukee, WI
  • NPI 1740368737
  NPD (past)

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1720877897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N53W16418 WHITETAIL RUN",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530510623",
            "telephone_number": "515-339-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RYAN ST",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721800",
            "telephone_number": "262-695-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY A YOUNGBLADE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLADE",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-339-9655",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ostrand Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.