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

Lake Geneva Dental Care LLC

Organization General Practice Dentistry · NPI 1083732101

Lake Geneva Dental Care LLC is a General Practice Dentistry in Lake Geneva, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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

580 Broad St
Lake Geneva, WI 53147-1420
Phone: (262) 248-2773
Fax: (262) 248-3895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5788 (WI)

Record details

NPI number1083732101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Groh — Owner · (630) 833-5110
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address580 Broad St, Lake Geneva, WI 53147-1420

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