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Advanced Dental Specialists, LLC — NPI 1497403398, Glendale, WI | NPI Central

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NPI 1497403398

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Advanced Dental Specialists, LLC

NPI 1497403398 · General Practice Dentistry · Glendale, WI

Provider details

NPI number: 1497403398
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Parent organization: Advanced Dental Specialists, LLC
Organization subpart: Yes
Authorized official: Celia Hayes, Credentialing Coordinator(217) 540-2100

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

500 W Silver Spring Dr Ste K250

Glendale, WI 53217-5062

Phone: (414) 529-5330

Fax: (414) 529-9552

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

500 W Silver Spring Dr Ste K250

Glendale, WI 53217-5062

Other names (DBA / former)

Doing business as: Advanced Dental Specialists Bayshore

Registry dates

Enumerated: 2022-03-10
Last updated: 2022-03-10
Certified: 2022-03-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.