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

Mdc West Bend, LLC

Organization Dentist · NPI 1497294722

Mdc West Bend, LLC is a Dentist in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
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

1625 W Paradise Dr
West Bend, WI 53095-7846
Phone: (262) 338-2992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5479015 (WI)

Record details

NPI number1497294722
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationModern Dental Care Holdings, LLC
Authorized official Bernard Bolka — Member · (920) 579-3188
NPI enumeratedFebruary 20, 2017
Last updated in NPPESFebruary 20, 2017
Mailing address7 Sheboygan St, Fond Du Lac, WI 54935-4281

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