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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT PARK DENTAL, S.C.

Active Organization

GRANT PARK DENTAL, S.C. is a General Dentistry organization located in SOUTH MILWAUKEE, Wisconsin. NPI 1578994620 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SOUTH MILWAUKEE, WI

Registration Details

NPI Number
1578994620
Provider Type
Organization
NPI Issued
Nov 27, 2013 (12.714104224666 yrs)
Last Updated
Nov 27, 2013
License
2736 (WI)

Practice Information

Address
1333 COLLEGE AVE
SUITE C
SOUTH MILWAUKEE, WI, 531721150
Browse WI providers · Browse ZIP 53172
Phone
4147646070
Fax
4147643035
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.