OrganizationActive
Advanced Dental Care Clinic Sc
NPI 1396258752 · Dental Clinic/Center · Plymouth, WI
Provider details
- NPI number
- 1396258752
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hooman Sereshki, Owner(920) 892-8466
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
62 S Pleasant View Road
Plymouth, WI 53073
Phone: (920) 892-8466
Approximate (ZIP-level) locationGet directions
Mailing address
62 S Pleasant View Rd
Plymouth, WI 53073-4954
Registry dates
- Enumerated
- 2017-11-08
- Last updated
- 2019-12-13
- Certified
- 2019-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.