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

Lifetime Dental Care of Wisconsin, SC

Organization General Practice Dentistry · NPI 1558975177

Lifetime Dental Care of Wisconsin, SC is a General Practice Dentistry in Salem, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

24418 75th St
Salem, WI 53168-9703
Phone: (262) 843-2004
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 number1558975177
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeartland Dental
Authorized official Courtney Monteith — Credentialing Coordinator · (217) 540-8306
Other names Jeffrey L. Sorensen, Dds
NPI enumeratedSeptember 1, 2020
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address24418 75th St, Salem, WI 53168-9703

Other providers in Salem