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

Mt Calvary Dental LLC

Organization Dental Clinic/Center · NPI 1780288977

Mt Calvary Dental LLC is a Dental Clinic/Center in Mount Calvary, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Evergreen Rd
Mount Calvary, WI 53057-9726
Phone: (920) 753-2771
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 number1780288977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caitlin Bloomer — Owner/Dentist · (920) 645-1219
NPI enumeratedNovember 28, 2020
Last updated in NPPESNovember 28, 2020
Certification dateNovember 28, 2020
Mailing address3500 Woodview Ln, Saukville, WI 53080-1400