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

Cedar Lake Dental Professionals Ltd

Organization General Practice Dentistry · NPI 1790840734

Cedar Lake Dental Professionals Ltd is a General Practice Dentistry in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

145 N 18th Ave
West Bend, WI 53095
Phone: (262) 334-3084
Fax: (262) 334-3552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4368 (WI)
Prosthodontics Taxonomy 1223P0700X · Licence 4408 (WI)

Record details

NPI number1790840734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lysette Brueggeman — Owner · (262) 334-3084
NPI enumeratedDecember 27, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address145 N 18th Avenue, West Bend, WI 53095

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