NORTH SHORE AUDUBON DENTAL LLC NPI 1053292060

NPI Information

  • NPI: 1053292060
  • Provider Name: NORTH SHORE AUDUBON DENTAL, LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 555 W BROWN DEER RD STE 210
    MILWAUKEE, WI
    ZIP 53217
  • Phone: (414) 352-7700

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NPI Details

NORTH SHORE AUDUBON DENTAL, LLC is a dental clinic center in Milwaukee, WI. NORTH SHORE AUDUBON DENTAL, LLC NPI is 1053292060. The provider is registered as an organization entity type.

The provider's business location address is:

555 W BROWN DEER RD STE 210
MILWAUKEE, WI
ZIP 53217-204
Phone: (414) 352-7700

The provider's authorized official is Christopher John Tamsen .
The authorized official title is Owner and has the following contact phone number (414) 940-1630.

The enumeration date for this NPI number is 9/9/2025 and was last updated on 9/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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