Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLUE LAKE SMILES
Active OrganizationBLUE LAKE SMILES is a Pediatric Dentistry organization located in FOND DU LAC, Wisconsin. NPI 1598627820 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FOND DU LAC, WI
Registration Details
- NPI Number
- 1598627820
- Provider Type
- Organization
- NPI Issued
- Nov 25, 2025 (0.74539815372048 yrs)
- Last Updated
- Nov 25, 2025
Practice Information
- Address
-
845 S MAIN ST STE 130FOND DU LAC, WI, 549356116Browse WI providers · Browse ZIP 54935
- Phone
- 9205818505
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.