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

Northwest Wisconsin Upper Peninsula Dental PC

Organization Dentist · NPI 1215194832

Northwest Wisconsin Upper Peninsula Dental PC is a Dentist in Menominee, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4103 10th St
Menominee, MI 49858-1309
Phone: (906) 863-2206
Fax: (906) 863-6389
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901010258 (MI)
Dentist Taxonomy 122300000X · Licence 2901017418 (MI)

Record details

NPI number1215194832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Park — Half Owner · (906) 863-2206
Other names N E W Up Dental
NPI enumeratedMay 21, 2008
Last updated in NPPESMay 21, 2008
Mailing address4103 10th St, Menominee, MI 49858-1309

Other providers in Menominee