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

Keystone South Milwaukee LLC

Organization Dental Clinic/Center · NPI 1114512225

Keystone South Milwaukee LLC is a Dental Clinic/Center in South Milwaukee, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
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

1113 College Ave # B
South Milwaukee, WI 53172-1142
Phone: (414) 764-0212
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1114512225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Kevin — Director Of Operations · (262) 873-0510
Other names South Milwaukee Family Dental
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing addressPo Box 180163, Delafield, WI 53018-0163

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