OrganizationActive
Mdc West Bend, LLC
NPI 1497294722 · Dentist · West Bend, WI
Mdc West Bend, LLC is a Dentist organization in West Bend, WI (NPI 1497294722).
Provider details
- NPI number
- 1497294722
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Modern Dental Care Holdings, LLC
- Organization subpart
- Yes
- Authorized official
- Bernard Bolka, Member(920) 579-3188
- License
- 5479015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1625 W Paradise Dr
West Bend, WI 53095-7846
Phone: (262) 338-2992
Street-level locationGet directions
Mailing address
7 Sheboygan St
Fond Du Lac, WI 54935-4281
Registry dates
- Enumerated
- 2017-02-20
- Last updated
- 2017-02-20
Frequently asked questions
- What is Mdc West Bend, LLC's NPI number?
- Mdc West Bend, LLC's National Provider Identifier (NPI) is 1497294722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mdc West Bend, LLC?
- Mdc West Bend, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mdc West Bend, LLC located?
- Mdc West Bend, LLC's practice location on file with NPPES is 1625 W Paradise Dr, West Bend, WI 53095-7846.
- What is Mdc West Bend, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mdc West Bend, LLC is (262) 338-2992.
- Who is the authorized official for Mdc West Bend, LLC?
- The authorized official listed on Mdc West Bend, LLC's NPPES record is Bernard Bolka, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mdc West Bend, LLC's NPI active?
- Yes — Mdc West Bend, LLC's NPI (1497294722) is active in the NPPES registry as of the last update on 2017-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.