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

CEDAR LAKE DENTAL PROFESSIONALS LTD

Active Organization

CEDAR LAKE DENTAL PROFESSIONALS LTD is a General Dentistry organization located in WEST BEND, Wisconsin. NPI 1790840734 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WEST BEND, WI

Registration Details

NPI Number
1790840734
Provider Type
Organization
NPI Issued
Dec 27, 2006 (19.65584010224 yrs)
Last Updated
Sep 11, 2025
Licenses
4408 (WI)
4368 (WI)

Practice Information

Address
145 N 18TH AVENUE
WEST BEND, WI, 53095
Browse WI providers · Browse ZIP 53095
Phone
2623343084
Fax
2623343552
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in WEST BEND, WI

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.