OrganizationActive
Advanced Dental Professionals, LLC
NPI 1306359450 · Dentist · Wausau, WI
Advanced Dental Professionals, LLC is a Dentist organization in Wausau, WI (NPI 1306359450).
Provider details
- NPI number
- 1306359450
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Olga Grenova, Director of Accounting(608) 833-2213
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
617 Jackson St
Wausau, WI 54403-5550
Phone: (715) 842-0765
Street-level locationGet directions
Mailing address
617 Jackson St
Wausau, WI 54403-5550
Registry dates
- Enumerated
- 2017-11-13
- Last updated
- 2017-11-13
Frequently asked questions
- What is Advanced Dental Professionals, LLC's NPI number?
- Advanced Dental Professionals, LLC's National Provider Identifier (NPI) is 1306359450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dental Professionals, LLC?
- Advanced Dental Professionals, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Advanced Dental Professionals, LLC located?
- Advanced Dental Professionals, LLC's practice location on file with NPPES is 617 Jackson St, Wausau, WI 54403-5550.
- What is Advanced Dental Professionals, LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dental Professionals, LLC is (715) 842-0765.
- Who is the authorized official for Advanced Dental Professionals, LLC?
- The authorized official listed on Advanced Dental Professionals, LLC's NPPES record is Olga Grenova, Director of Accounting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dental Professionals, LLC's NPI active?
- Yes — Advanced Dental Professionals, LLC's NPI (1306359450) is active in the NPPES registry as of the last update on 2017-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.