Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dental Professionals, LLC

Organization Dentist · NPI 1306359450

Advanced Dental Professionals, LLC is a Dentist in Wausau, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

617 Jackson St
Wausau, WI 54403-5550
Phone: (715) 842-0765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1306359450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olga Grenova — Director Of Accounting · (608) 833-2213
NPI enumeratedNovember 13, 2017
Last updated in NPPESNovember 13, 2017
Mailing address617 Jackson St, Wausau, WI 54403-5550

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