OrganizationActive
Random Lake Dentistry, Inc
NPI 1982421046 · Dental Clinic/Center · Random Lake, WI
Random Lake Dentistry, Inc is a Dental Clinic/Center organization in Random Lake, WI (NPI 1982421046).
Provider details
- NPI number
- 1982421046
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hooman Abdolisereshki, Owner(920) 892-8466
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
37 Hickory Dr
Random Lake, WI 53075-1675
Phone: (920) 994-4367
Street-level locationGet directions
Mailing address
62 S Pleasant View Rd
Plymouth, WI 53073-4954
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Frequently asked questions
- What is Random Lake Dentistry, Inc's NPI number?
- Random Lake Dentistry, Inc's National Provider Identifier (NPI) is 1982421046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Random Lake Dentistry, Inc?
- Random Lake Dentistry, Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Random Lake Dentistry, Inc located?
- Random Lake Dentistry, Inc's practice location on file with NPPES is 37 Hickory Dr, Random Lake, WI 53075-1675.
- What is Random Lake Dentistry, Inc's phone number?
- The practice phone number listed in the NPPES registry for Random Lake Dentistry, Inc is (920) 994-4367.
- Who is the authorized official for Random Lake Dentistry, Inc?
- The authorized official listed on Random Lake Dentistry, Inc's NPPES record is Hooman Abdolisereshki, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Random Lake Dentistry, Inc's NPI active?
- Yes — Random Lake Dentistry, Inc's NPI (1982421046) is active in the NPPES registry as of the last update on 2024-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.