OrganizationActive
Dental 360 Kenosha
NPI 1669199600 · General Practice Dentistry · Kenosha, WI
Dental 360 Kenosha is a General Practice Dentistry organization in Kenosha, WI (NPI 1669199600).
Provider details
- NPI number
- 1669199600
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ivana Bueno, Director(773) 798-9382
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
3726 Roosevelt Rd
Kenosha, WI 53142-1900
Phone: (262) 652-7956
Street-level locationGet directions
Mailing address
3726 Roosevelt Rd
Kenosha, WI 53142-1900
Registry dates
- Enumerated
- 2022-10-20
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Frequently asked questions
- What is Dental 360 Kenosha's NPI number?
- Dental 360 Kenosha's National Provider Identifier (NPI) is 1669199600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental 360 Kenosha?
- Dental 360 Kenosha is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental 360 Kenosha located?
- Dental 360 Kenosha's practice location on file with NPPES is 3726 Roosevelt Rd, Kenosha, WI 53142-1900.
- What is Dental 360 Kenosha's phone number?
- The practice phone number listed in the NPPES registry for Dental 360 Kenosha is (262) 652-7956.
- Who is the authorized official for Dental 360 Kenosha?
- The authorized official listed on Dental 360 Kenosha's NPPES record is Ivana Bueno, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental 360 Kenosha's NPI active?
- Yes — Dental 360 Kenosha's NPI (1669199600) is active in the NPPES registry as of the last update on 2022-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.