OrganizationActive
Advanced Dental Specialists, LLC
NPI 1174271076 · General Practice Dentistry · Wauwatosa, WI
Provider details
- NPI number
- 1174271076
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Advanced Dental Specialists, LLC
- Organization subpart
- Yes
- Authorized official
- Celia Hayes, Credentialing Coordinator(217) 540-2100
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 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
2600 N Mayfair Rd Ste 101
Wauwatosa, WI 53226-1320
Phone: (414) 475-1418
Street-level locationGet directions
Mailing address
2600 N Mayfair Rd Ste 101
Wauwatosa, WI 53226-1320
Other names (DBA / former)
- Doing business as
- Advanced Dental Specialists Mayfair
Registry dates
- Enumerated
- 2022-03-10
- Last updated
- 2022-03-10
- Certified
- 2022-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.