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

De Pere Family Dentistry LLC

Organization General Practice Dentistry · NPI 1225307267

De Pere Family Dentistry LLC is a General Practice Dentistry in De Pere, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
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

1001 N Broadway
De Pere, WI 54115-2609
Phone: (920) 336-2500
Fax: (920) 336-4684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5001499 (WI)

Record details

NPI number1225307267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cyril Van Sistine — Partner / Manager · (920) 336-2500
NPI enumeratedDecember 20, 2011
Last updated in NPPESDecember 20, 2011
Mailing address1001 N Broadway, De Pere, WI 54115-2609

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