OrganizationActive
Blue Lake Smiles
NPI 1598627820 · Pediatric Dentistry · Fond Du Lac, WI
Blue Lake Smiles is a Pediatric Dentistry organization in Fond Du Lac, WI (NPI 1598627820).
Provider details
- NPI number
- 1598627820
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gaurav Jain, Pediatric Dentist(612) 308-2244
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
845 S Main St Ste 130
Fond Du Lac, WI 54935-6116
Phone: (920) 581-8505
Street-level locationGet directions
Mailing address
10749 N Tree Sparrow Dr
Mequon, WI 53097
Other names (DBA / former)
- Doing business as
- Blue Lake Smiles Pediatric Dentistry
Registry dates
- Enumerated
- 2025-11-25
- Last updated
- 2025-11-25
- Certified
- 2025-11-12
Frequently asked questions
- What is Blue Lake Smiles's NPI number?
- Blue Lake Smiles's National Provider Identifier (NPI) is 1598627820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Lake Smiles?
- Blue Lake Smiles is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Blue Lake Smiles located?
- Blue Lake Smiles's practice location on file with NPPES is 845 S Main St Ste 130, Fond Du Lac, WI 54935-6116.
- What is Blue Lake Smiles's phone number?
- The practice phone number listed in the NPPES registry for Blue Lake Smiles is (920) 581-8505.
- Who is the authorized official for Blue Lake Smiles?
- The authorized official listed on Blue Lake Smiles's NPPES record is Gaurav Jain, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Lake Smiles's NPI active?
- Yes — Blue Lake Smiles's NPI (1598627820) is active in the NPPES registry as of the last update on 2025-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.