OrganizationActive
Deerwood Orthodontics, LLC
NPI 1669120259 · Orthodontics and Dentofacial Orthopedics Dentistry · Glendale, WI
Provider details
- NPI number
- 1669120259
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Parent organization
- Deerwood Orthodontics, LLC
- Organization subpart
- Yes
- Authorized official
- Celia Hayes, Credentialing Coordinator(217) 540-2100
Specialties & taxonomies
Dental Providers
Practice location
500 W Silver Spring Dr Ste K230
Glendale, WI 53217-5053
Phone: (414) 332-4900
Fax: (414) 332-4949
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Silver Spring Dr Ste K230
Glendale, WI 53217-5053
Other names (DBA / former)
- Doing business as
- Deerwood Orthodontics Bayshore
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.