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911 Dental Group — NPI 1235944190, Racine, WI | NPI Central

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OrganizationActive

911 Dental Group

NPI 1235944190 · Dental Clinic/Center · Racine, WI

Provider details

NPI number: 1235944190
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Nana Owusu, Ceo(262) 900-2191

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

400 Lake Ave

Racine, WI 53403-1020

Phone: (262) 900-2191

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

810 Thornton St Se Apt 1104

Minneapolis, MN 55414-3657

Registry dates

Enumerated: 2025-02-10
Last updated: 2025-02-10
Certified: 2025-02-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.