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

Glendale Dental LLC

Organization Dental Clinic/Center · NPI 1710478557

Glendale Dental LLC is a Dental Clinic/Center in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
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

5150 N Port Washington Rd Ste 201
Glendale, WI 53217-5400
Phone: (414) 964-8850
Fax: (414) 964-8918
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 6886 (WI)

Record details

NPI number1710478557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Potrykus — Owner · (262) 646-2771
NPI enumeratedMay 29, 2018
Last updated in NPPESMay 29, 2018
Mailing address920 Indian Spring Dr, Delafield, WI 53018-2242

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