OrganizationActive
The Kids Dentist LLC
NPI 1407257108 · Pediatric Dentistry · Mequon, WI
The Kids Dentist LLC is a Pediatric Dentistry organization in Mequon, WI (NPI 1407257108).
Provider details
- NPI number
- 1407257108
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shane Fisher, Owner(262) 241-0400
- License
- 5127-015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
10618 N Port Washington Rd
Mequon, WI 53092-5013
Phone: (262) 241-0400
Street-level locationGet directions
Mailing address
10618 N Port Washington Rd
Mequon, WI 53092-5013
Registry dates
- Enumerated
- 2014-09-12
- Last updated
- 2014-09-12
Frequently asked questions
- What is The Kids Dentist LLC's NPI number?
- The Kids Dentist LLC's National Provider Identifier (NPI) is 1407257108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Kids Dentist LLC?
- The Kids Dentist LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is The Kids Dentist LLC located?
- The Kids Dentist LLC's practice location on file with NPPES is 10618 N Port Washington Rd, Mequon, WI 53092-5013.
- What is The Kids Dentist LLC's phone number?
- The practice phone number listed in the NPPES registry for The Kids Dentist LLC is (262) 241-0400.
- Who is the authorized official for The Kids Dentist LLC?
- The authorized official listed on The Kids Dentist LLC's NPPES record is Shane Fisher, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Kids Dentist LLC's NPI active?
- Yes — The Kids Dentist LLC's NPI (1407257108) is active in the NPPES registry as of the last update on 2014-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.