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

Dr Mary Grote

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1740336114

Dr Mary Grote is an Oral and Maxillofacial Surgery (Dentist) in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

301 S Roosevelt Dr Ste A
Beaver Dam, WI 53916-2439
Phone: (920) 887-8423
Fax: (920) 887-8471
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2582-015 (WI)

Record details

NPI number1740336114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Grote — Owner · (920) 887-8423
NPI enumeratedJanuary 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address301 S Roosevelt Dr, Suite A, Beaver Dam, WI 53916-2439

Other providers in Beaver Dam