OrganizationActive
Old Oaks Dental LLC
NPI 1093446163 · General Practice Dentistry · Pleasant Prairie, WI
Old Oaks Dental LLC is a General Practice Dentistry organization in Pleasant Prairie, WI (NPI 1093446163).
Provider details
- NPI number
- 1093446163
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Aaron Bushong, Owner(715) 573-3868
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9809 39th Ave Ste 1
Pleasant Prairie, WI 53158-3733
Phone: (715) 573-3868
Street-level locationGet directions
Mailing address
9809 39th Ave Ste 1
Pleasant Prairie, WI 53158-3733
Registry dates
- Enumerated
- 2022-06-20
- Last updated
- 2022-06-20
- Certified
- 2022-06-20
Frequently asked questions
- What is Old Oaks Dental LLC's NPI number?
- Old Oaks Dental LLC's National Provider Identifier (NPI) is 1093446163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Oaks Dental LLC?
- Old Oaks Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Old Oaks Dental LLC located?
- Old Oaks Dental LLC's practice location on file with NPPES is 9809 39th Ave Ste 1, Pleasant Prairie, WI 53158-3733.
- What is Old Oaks Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Oaks Dental LLC is (715) 573-3868.
- Who is the authorized official for Old Oaks Dental LLC?
- The authorized official listed on Old Oaks Dental LLC's NPPES record is Aaron Bushong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Oaks Dental LLC's NPI active?
- Yes — Old Oaks Dental LLC's NPI (1093446163) is active in the NPPES registry as of the last update on 2022-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.