Active NPI
G Dental, LLC
- General Practice Dentistry
- Milwaukee, WI
National Provider Identifier
1922952126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Franklin, WI
- NPI 1972127363
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1073005476
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.