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

Great Lakes Dental, LLC

Organization Dentist · NPI 1043582869

Great Lakes Dental, LLC is a Dentist in Germantown, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
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

W188N11927 Maple Rd Ste 12
Germantown, WI 53022-6328
Phone: (262) 509-5755
Fax: (262) 565-2420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4018 (WI)

Record details

NPI number1043582869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Grzybowski — Owner · (262) 509-5755
NPI enumeratedFebruary 9, 2012
Last updated in NPPESFebruary 9, 2012
Mailing addressW188n11927 Maple Rd, Suite 12, Germantown, WI 53022-6328

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