IndividualActive
Amanda Lathe, DDS
NPI 1225521545 · Dentist · Glendale, WI
Provider details
- NPI number
- 1225521545
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 1001848-15 (WI)
Specialties & taxonomies
Dental Providers
Practice location
7155 N Port Washington Rd
Glendale, WI 53217-3841
Phone: (414) 928-2518
Approximate (ZIP-level) locationGet directions
Mailing address
2783 S Delaware Ave
Milwaukee, WI 53207-2343
Registry dates
- Enumerated
- 2018-06-11
- Last updated
- 2022-02-01
- Certified
- 2022-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.