Blue Lake Smiles
Blue Lake Smiles is a Pediatric Dentistry in Fond Du Lac, Wisconsin. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
845 S Main St Ste 130Fond Du Lac, WI 54935-6116
Phone: (920) 581-8505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1598627820 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gaurav Jain — Pediatric Dentist · (612) 308-2244 |
| Other names | Blue Lake Smiles Pediatric Dentistry |
| NPI enumerated | November 25, 2025 |
| Last updated in NPPES | November 25, 2025 |
| Certification date | November 12, 2025 |
| Mailing address | 10749 N Tree Sparrow Dr, Mequon, WI 53097 |
Other providers in Fond Du Lac
-
Brian C Stecker, DDS
54 Camelot Dr, Fond Du Lac, WI 54935-8049 · (920) 923-1239
-
Dr. Kent Alan Zocher, DDS
545 E Johnson St, Fond Du Lac, WI 54935-2856 · (920) 924-9090