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

Prairie Orthdontics SC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1881982221

Prairie Orthdontics SC is an Orthodontics and Dentofacial Orthopedics Dentistry in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011

Practice location Address checks out

5024 N Greenbay Rd Ste 150
Kenosha, WI 53144-1714
Phone: (262) 637-8800
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 6500-15 (WI)

Record details

NPI number1881982221
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrairie Orthodontics
Authorized official Michael Weinberg — Orthodontist · (262) 637-8800
NPI enumeratedJuly 19, 2011
Last updated in NPPESAugust 1, 2011
Mailing address5024 N Greenbay Rd, Suite 150, Kenosha, WI 53144-1714

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