OrganizationActive
Mequon Deer Dental, LLC
NPI 1164047130 · Dental Clinic/Center · Milwaukee, WI
Mequon Deer Dental, LLC is a Dental Clinic/Center organization in Milwaukee, WI (NPI 1164047130).
Provider details
- NPI number
- 1164047130
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olga Grenova, Dir of Accounting(608) 833-2213
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
7400 W Brown Deer Rd
Milwaukee, WI 53223-2078
Phone: (414) 354-1160
Street-level locationGet directions
Mailing address
8025 Excelsior Dr
Madison, WI 53717-1900
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2020-06-15
- Certified
- 2020-06-15
Frequently asked questions
- What is Mequon Deer Dental, LLC's NPI number?
- Mequon Deer Dental, LLC's National Provider Identifier (NPI) is 1164047130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mequon Deer Dental, LLC?
- Mequon Deer Dental, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mequon Deer Dental, LLC located?
- Mequon Deer Dental, LLC's practice location on file with NPPES is 7400 W Brown Deer Rd, Milwaukee, WI 53223-2078.
- What is Mequon Deer Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mequon Deer Dental, LLC is (414) 354-1160.
- Who is the authorized official for Mequon Deer Dental, LLC?
- The authorized official listed on Mequon Deer Dental, LLC's NPPES record is Olga Grenova, Dir of Accounting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mequon Deer Dental, LLC's NPI active?
- Yes — Mequon Deer Dental, LLC's NPI (1164047130) is active in the NPPES registry as of the last update on 2020-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.