OrganizationActive
Grand Avenue Dental Care, LLC
NPI 1255102323 · Dental Clinic/Center · Hartford, WI
Grand Avenue Dental Care, LLC is a Dental Clinic/Center organization in Hartford, WI (NPI 1255102323).
Provider details
- NPI number
- 1255102323
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leah Clancy, Owner(708) 738-5438
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1163 Grand Ave
Hartford, WI 53027-2458
Phone: (262) 673-7826
Street-level locationGet directions
Mailing address
2505 N 84th St
Wauwatosa, WI 53226-1905
Registry dates
- Enumerated
- 2024-01-09
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Frequently asked questions
- What is Grand Avenue Dental Care, LLC's NPI number?
- Grand Avenue Dental Care, LLC's National Provider Identifier (NPI) is 1255102323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Avenue Dental Care, LLC?
- Grand Avenue Dental Care, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grand Avenue Dental Care, LLC located?
- Grand Avenue Dental Care, LLC's practice location on file with NPPES is 1163 Grand Ave, Hartford, WI 53027-2458.
- What is Grand Avenue Dental Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Avenue Dental Care, LLC is (262) 673-7826.
- Who is the authorized official for Grand Avenue Dental Care, LLC?
- The authorized official listed on Grand Avenue Dental Care, LLC's NPPES record is Leah Clancy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Avenue Dental Care, LLC's NPI active?
- Yes — Grand Avenue Dental Care, LLC's NPI (1255102323) is active in the NPPES registry as of the last update on 2024-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.