Brown Deer Dental Health Center, SC
Organization Active NPI Dental Clinic/Center · Glendale, WI
NPI 1942995667 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1942995667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- BROWN DEER DENTAL HEALTH CENTER, SC
- Practice address
- 6025 N Green Bay Ave
Glendale, WI 53209-3811 - Phone
- (414) 797-0328
- Fax
- (414) 355-0242
- NPI assigned
- Apr 7, 2023
- Organization subpart
- No
Authorized official
- Name
- Nathan Knutsen, DDS
- Title
- Owner
- Phone
- (414) 797-0328
Practitioners 2
-
Nathan H Knutsen, D.D.S
-
Macy Lynn Lentz, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
6025 N Green Bay Ave
Glendale, WI 53209-3811
Mailing address
6025 N Green Bay Ave
Glendale, WI 53209-3811
Phone (414) 797-0328
Other names
- Tooth Town Dentistry for Kids
Other providers in Glendale, WI
- Corliss Ann Breen
- Mary T Breger
- Tracy Lynn Bretl
- Brew City Dental Care LLC
- Samantha Broomfield
- Bradley Kyle Brown
- Danicha S Brown
- Bruce Holmstrom D.D.S.,SC
- Ted Terry Bruce
- Timothy Peter Bruce
All providers in Glendale, WI · Dental Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.