Organization Active NPI

KMK Dental Consulting LLC Dba Kutzler Dentistry

  • Dental Clinic/Center
  • Wausau, WI
National Provider Identifier
1861305393
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KMK DENTAL CONSULTING LLC DBA KUTZLER DENTISTRY
Practice address
2620 Stewart Ave Ste 216
Wausau, WI 54401-4162
Phone
(715) 841-9922
Fax
(715) 201-9262
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Dr. Kimberly Kutzler, DDS
Title
Owner
Phone
(715) 841-9922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2620 Stewart Ave Ste 216
Wausau, WI 54401-4162

Mailing address

2620 Stewart Ave Ste 216
Wausau, WI 54401-4162
Phone (715) 841-9922

Other practice location 1

213230 Legion St
Stratford, WI 54484-5030
Phone (715) 841-9922

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1861305393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 216",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-841-9922",
            "fax_number": "715-201-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 216",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-841-9922",
            "fax_number": "715-201-9262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213230 Legion St",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "WI",
            "postal_code": "544845030",
            "country_code": "US",
            "telephone_number": "715-841-9922",
            "fax_number": "715-201-9262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KMK DENTAL CONSULTING LLC DBA KUTZLER DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "KUTZLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-841-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.