Cedar Lake Dental Professionals Ltd
NPI 1790840734 · General Practice Dentistry · West Bend, WI
Cedar Lake Dental Professionals Ltd is a General Practice Dentistry organization in West Bend, WI (NPI 1790840734).
Provider details
- NPI number
- 1790840734
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lysette Brueggeman, Owner(262) 334-3084
- License
- 4408 (WI)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2025-09-11
Frequently asked questions
- What is Cedar Lake Dental Professionals Ltd's NPI number?
- Cedar Lake Dental Professionals Ltd's National Provider Identifier (NPI) is 1790840734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Lake Dental Professionals Ltd?
- Cedar Lake Dental Professionals Ltd is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Cedar Lake Dental Professionals Ltd located?
- Cedar Lake Dental Professionals Ltd's practice location on file with NPPES is 145 N 18th Avenue, West Bend, WI 53095.
- What is Cedar Lake Dental Professionals Ltd's phone number?
- The practice phone number listed in the NPPES registry for Cedar Lake Dental Professionals Ltd is (262) 334-3084.
- Who is the authorized official for Cedar Lake Dental Professionals Ltd?
- The authorized official listed on Cedar Lake Dental Professionals Ltd's NPPES record is Lysette Brueggeman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Lake Dental Professionals Ltd's NPI active?
- Yes — Cedar Lake Dental Professionals Ltd's NPI (1790840734) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.