OrganizationActive
Advance Dental Management
NPI 1417020454 · General Practice Dentistry · Mukwonago, WI
Advance Dental Management is a General Practice Dentistry organization in Mukwonago, WI (NPI 1417020454).
Provider details
- NPI number
- 1417020454
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Genie Kuble, Contact Officer(920) 450-0157
- License
- 5000526 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
720 N Rochester St
Suite 203
Mukwonago, WI 53149-1188
Phone: (262) 363-2220
Fax: (262) 363-2221
Street-level locationGet directions
Mailing address
720 N Rochester St
Mukwonago, WI 53149-1188
Other names (DBA / former)
- Doing business as
- Oakwood Dental
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Advance Dental Management's NPI number?
- Advance Dental Management's National Provider Identifier (NPI) is 1417020454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advance Dental Management?
- Advance Dental Management is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Advance Dental Management located?
- Advance Dental Management's practice location on file with NPPES is 720 N Rochester St, Mukwonago, WI 53149-1188.
- What is Advance Dental Management's phone number?
- The practice phone number listed in the NPPES registry for Advance Dental Management is (262) 363-2220.
- Who is the authorized official for Advance Dental Management?
- The authorized official listed on Advance Dental Management's NPPES record is Genie Kuble, Contact Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advance Dental Management's NPI active?
- Yes — Advance Dental Management's NPI (1417020454) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.