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

Kewaskum Family Dentistry

Organization General Practice Dentistry · NPI 1558017426

Kewaskum Family Dentistry is a General Practice Dentistry in Kewaskum, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1721 Fond Du Lac Ave
Kewaskum, WI 53040-8954
Phone: (262) 626-2119
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 number1558017426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Klasinski — Owner · (262) 626-2119
Other names Kewaskum Family Dentistry; Kewaskum Family Dentistry
NPI enumeratedMarch 1, 2022
Last updated in NPPESNovember 4, 2024
Certification dateOctober 31, 2024
Mailing address1204 Fond Du Lac Ave, Kewaskum, WI 53040-8954

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