Keystone South Milwaukee LLC
NPI 1114512225 · Dental Clinic/Center · South Milwaukee, WI
Keystone South Milwaukee LLC is a Dental Clinic/Center organization in South Milwaukee, WI (NPI 1114512225).
Provider details
- NPI number
- 1114512225
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tammy Kevin, Director of Operations(262) 873-0510
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Other names (DBA / former)
- Doing business as
- South Milwaukee Family Dental
Registry dates
- Enumerated
- 2021-03-02
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Frequently asked questions
- What is Keystone South Milwaukee LLC's NPI number?
- Keystone South Milwaukee LLC's National Provider Identifier (NPI) is 1114512225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keystone South Milwaukee LLC?
- Keystone South Milwaukee LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Keystone South Milwaukee LLC located?
- Keystone South Milwaukee LLC's practice location on file with NPPES is 1113 College Ave # B, South Milwaukee, WI 53172-1142.
- What is Keystone South Milwaukee LLC's phone number?
- The practice phone number listed in the NPPES registry for Keystone South Milwaukee LLC is (414) 764-0212.
- Who is the authorized official for Keystone South Milwaukee LLC?
- The authorized official listed on Keystone South Milwaukee LLC's NPPES record is Tammy Kevin, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keystone South Milwaukee LLC's NPI active?
- Yes — Keystone South Milwaukee LLC's NPI (1114512225) is active in the NPPES registry as of the last update on 2021-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.