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

Dental 360 Kenosha

Organization General Practice Dentistry · NPI 1669199600

Dental 360 Kenosha is a General Practice Dentistry in Kenosha, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3726 Roosevelt Rd
Kenosha, WI 53142-1900
Phone: (262) 652-7956
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1669199600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivana Bueno — Director · (773) 798-9382
NPI enumeratedOctober 20, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address3726 Roosevelt Rd, Kenosha, WI 53142-1900

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