OrganizationActive
Ag Perio LLC
NPI 1508530247 · Periodontics · Waukesha, WI
Provider details
- NPI number
- 1508530247
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Lisa Garcia, Office Manager(262) 547-1877
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2316 N Grandview Blvd
Waukesha, WI 53188-5318
Phone: (262) 547-1877
Street-level locationGet directions
Mailing address
2316 N Grandview Blvd
Waukesha, WI 53188-1602
Registry dates
- Enumerated
- 2021-08-05
- Last updated
- 2021-08-05
- Certified
- 2021-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.