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

Old Oaks Dental LLC

Organization General Practice Dentistry · NPI 1093446163

Old Oaks Dental LLC is a General Practice Dentistry in Pleasant Prairie, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
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

9809 39th Ave Ste 1
Pleasant Prairie, WI 53158-3733
Phone: (715) 573-3868
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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

Record details

NPI number1093446163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Bushong — Owner · (715) 573-3868
NPI enumeratedJune 20, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address9809 39th Ave Ste 1, Pleasant Prairie, WI 53158-3733

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