OrganizationActive
Glendale Dental LLC
NPI 1710478557 · Dental Clinic/Center · Glendale, WI
Glendale Dental LLC is a Dental Clinic/Center organization in Glendale, WI (NPI 1710478557).
Provider details
- NPI number
- 1710478557
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Potrykus, Owner(262) 646-2771
- License
- 6886 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
5150 N Port Washington Rd Ste 201
Glendale, WI 53217-5400
Phone: (414) 964-8850
Fax: (414) 964-8918
Street-level locationGet directions
Mailing address
920 Indian Spring Dr
Delafield, WI 53018-2242
Registry dates
- Enumerated
- 2018-05-29
- Last updated
- 2018-05-29
Frequently asked questions
- What is Glendale Dental LLC's NPI number?
- Glendale Dental LLC's National Provider Identifier (NPI) is 1710478557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glendale Dental LLC?
- Glendale Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Glendale Dental LLC located?
- Glendale Dental LLC's practice location on file with NPPES is 5150 N Port Washington Rd Ste 201, Glendale, WI 53217-5400.
- What is Glendale Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Glendale Dental LLC is (414) 964-8850.
- Who is the authorized official for Glendale Dental LLC?
- The authorized official listed on Glendale Dental LLC's NPPES record is Christopher Potrykus, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glendale Dental LLC's NPI active?
- Yes — Glendale Dental LLC's NPI (1710478557) is active in the NPPES registry as of the last update on 2018-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.