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

East Towne Dental Associated Belgium Family Dental SC

Organization Dentist · NPI 1356489603

East Towne Dental Associated Belgium Family Dental SC is a Dentist in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
3

Practice location Address checks out

11501 N Prot Washington Rd
Mequon, WI 53092
Phone: (262) 241-8880
Fax: (262) 241-5250
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5993 (WI)
Dentist Taxonomy 122300000X · Licence 5301 (WI)
Dentist Taxonomy 122300000X · Licence 5304 (WI)

Record details

NPI number1356489603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vali Kiaie — President · (262) 241-8880
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address11501 N Prot Washington Rd, Mequon, WI 53092

Other providers in Mequon