OrganizationActive
Mt Calvary Dental LLC
NPI 1780288977 · Dental Clinic/Center · Mount Calvary, WI
Mt Calvary Dental LLC is a Dental Clinic/Center organization in Mount Calvary, WI (NPI 1780288977).
Provider details
- NPI number
- 1780288977
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Caitlin Bloomer, Owner/Dentist(920) 645-1219
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
100 Evergreen Rd
Mount Calvary, WI 53057-9726
Phone: (920) 753-2771
Street-level locationGet directions
Mailing address
3500 Woodview Ln
Saukville, WI 53080-1400
Registry dates
- Enumerated
- 2020-11-28
- Last updated
- 2020-11-28
- Certified
- 2020-11-28
Frequently asked questions
- What is Mt Calvary Dental LLC's NPI number?
- Mt Calvary Dental LLC's National Provider Identifier (NPI) is 1780288977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt Calvary Dental LLC?
- Mt Calvary Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mt Calvary Dental LLC located?
- Mt Calvary Dental LLC's practice location on file with NPPES is 100 Evergreen Rd, Mount Calvary, WI 53057-9726.
- What is Mt Calvary Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Mt Calvary Dental LLC is (920) 753-2771.
- Who is the authorized official for Mt Calvary Dental LLC?
- The authorized official listed on Mt Calvary Dental LLC's NPPES record is Caitlin Bloomer, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt Calvary Dental LLC's NPI active?
- Yes — Mt Calvary Dental LLC's NPI (1780288977) is active in the NPPES registry as of the last update on 2020-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.