Organization Active NPI

G Dental, LLC

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1922952126
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
G DENTAL, LLC
Practice address
G Dental, LLC
7635 W Bluemound Rd, Ste 208
Milwaukee, WI 53213
Phone
(414) 258-6330
Fax
(414) 258-3622
NPI assigned
Feb 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Dr. Glenn De la Llanz Gequillana, DDS
Title
Owner
Phone
(414) 649-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

G Dental, LLC
7635 W Bluemound Rd, Ste 208
Milwaukee, WI 53213

Mailing address

Parkway Dental, SC
2901 W Kinnic Kinnic River Parkway, Ste 104
Milwaukee, WI 53215
Phone (414) 649-3510

National Provider Directory

National Provider Directory

Locations

7635 W Bluemound Rd
Ste 208
Milwaukee, WI 53213
Phone (414) 258-6330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1922952126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARKWAY DENTAL, SC",
            "address_2": "2901 W KINNIC KINNIC RIVER PARKWAY, STE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "414-649-3510",
            "fax_number": "414-385-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G DENTAL, LLC",
            "address_2": "7635 W BLUEMOUND RD, STE 208",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53213",
            "telephone_number": "414-258-6330",
            "fax_number": "414-258-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "GEQUILLANA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "DE LA LLANZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-649-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.