Lake Breeze Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKE BREEZE DENTAL, LLC

Practice address

3712 Kadow St
Manitowoc, WI 54220-5450

Phone

(920) 684-8033

NPI assigned

Aug 1, 2025

Last updated

Aug 1, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

THE PEARL GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Adam Pasono, DDSNPI 1811307408

Title

Dentist/Owner

Phone

(920) 639-1215

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Adam Pasono, D.D.S.

  • Dentist
  • Green Bay, WI
  • NPI 1811307408
  NPD Authorized official
• Elise Borja, DDS

  • General Practice Dentistry
  • Manitowoc, WI
  • NPI 1508329921
  NPD
• Ronald Egan, DDS

  • General Practice Dentistry
  • Manitowoc, WI
  • NPI 1588685028
  NPD (past)
• Lukas Anthony Tenuta

  • General Practice Dentistry
  • Manitowoc, WI
  • NPI 1003747353
  NPD (past)

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1811871197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CLERMONT CT",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154075",
            "telephone_number": "920-639-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 KADOW ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205450",
            "telephone_number": "920-684-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BREEZE DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PEARL GROUP, LLC",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "PASONO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "920-639-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Kumbalek, DC
• Brian Patrick Kurcz
• La Clinica de Los Campesinos, Inc
• La Sante Wisconsin Inc. (HME Home Medical)
• Lorissa L Laabs, OTR
• Lakeshore Cap, Inc.
• Lakeshore Community Health Care, Inc
• Lakeshore Community Health Care, Inc.
• Lakeshore Dental SC
• Lakeshore Radiology Associates SC

• Dental Clinic/Center in Manitowoc, WI
• Providers in Manitowoc, 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 Aug 1, 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.