IndividualActive
Alan Kimmel, DDS
NPI 1760576128 · Oral and Maxillofacial Surgery (Dentist) · Mequon, WI
Provider details
- NPI number
- 1760576128
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5969-015 (WI)
Specialties & taxonomies
Dental Providers
Practice location
10535 N Port Washington Rd
Suite 102
Mequon, WI 53092-5583
Phone: (262) 241-0900
Fax: (262) 241-0904
Approximate (ZIP-level) locationGet directions
Mailing address
10535 N Port Washington Rd
Mequon, WI 53092-5583
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2008-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.