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NPI · 1124580352 · NPPES-sourced

Upper Lakes Dental, LLC

ActiveDental Clinic/Center
NPI Number
1124580352
Type 2 · Organisation
Taxonomy Code
261QD0000X
Contact
(920) 582-0688
Primary practice line
Last Updated
About 7 years ago (Apr 2019)
Enumerated 2019-04-05
Primary practice addressWI · 54986-9672
908 E Main St Ste CWinneconne, WI 54986-9672
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About this NPIWhat this record shows.

NPI 1124580352 is registered to Upper Lakes Dental, LLC, a healthcare organisation classified as "Dental Clinic/Center" and located at 908 E Main St Ste C in Winneconne, Wisconsin. The organisation's authorised official is Ryan Gonzalez. The organisation has been enumerated in the NPI registry since 2019.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2019-04-05
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Upper Lakes Dental, LLC accepts. To confirm in-network status with your specific health plan, contact Upper Lakes Dental, LLC directly at (920) 582-0688.

Frequently asked

Yes. NPI 1124580352 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dental Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (920) 582-0688.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Upper Lakes Dental, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QD0000X
Last updated2019-04
Enumerated2019-04-05
StatusActive
Partneri
partner offer
Tools for healthcare teams.
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