OrganizationActive
Antonoff Dental, LLC
NPI 1417673310 · Dental Clinic/Center · Kenosha, WI
Provider details
- NPI number
- 1417673310
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Antonoff, Dentists(414) 698-4324
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
6803 Sheridan Rd
Kenosha, WI 53143-1321
Phone: (262) 484-4356
Street-level locationGet directions
Mailing address
6803 Sheridan Rd
Kenosha, WI 53143-1321
Other names (DBA / former)
- Doing business as
- Modern Family Dentists
Registry dates
- Enumerated
- 2022-10-13
- Last updated
- 2022-10-13
- Certified
- 2022-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.