OrganizationActive
Northwest Wisconsin Upper Peninsula Dental PC
NPI 1215194832 · Dentist · Menominee, MI
Northwest Wisconsin Upper Peninsula Dental PC is a Dentist organization in Menominee, MI (NPI 1215194832).
Provider details
- NPI number
- 1215194832
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Donald Park, Half Owner(906) 863-2206
- License
- 2901017418 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4103 10th St
Menominee, MI 49858-1309
Phone: (906) 863-2206
Fax: (906) 863-6389
Street-level locationGet directions
Mailing address
4103 10th St
Menominee, MI 49858-1309
Other names (DBA / former)
- Other name
- N E W Up Dental
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2008-05-21
Frequently asked questions
- What is Northwest Wisconsin Upper Peninsula Dental PC's NPI number?
- Northwest Wisconsin Upper Peninsula Dental PC's National Provider Identifier (NPI) is 1215194832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Wisconsin Upper Peninsula Dental PC?
- Northwest Wisconsin Upper Peninsula Dental PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Northwest Wisconsin Upper Peninsula Dental PC located?
- Northwest Wisconsin Upper Peninsula Dental PC's practice location on file with NPPES is 4103 10th St, Menominee, MI 49858-1309.
- What is Northwest Wisconsin Upper Peninsula Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Northwest Wisconsin Upper Peninsula Dental PC is (906) 863-2206.
- Who is the authorized official for Northwest Wisconsin Upper Peninsula Dental PC?
- The authorized official listed on Northwest Wisconsin Upper Peninsula Dental PC's NPPES record is Donald Park, Half Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Wisconsin Upper Peninsula Dental PC's NPI active?
- Yes — Northwest Wisconsin Upper Peninsula Dental PC's NPI (1215194832) is active in the NPPES registry as of the last update on 2008-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.