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

Sandberg Modern Dental LLC

Organization General Practice Dentistry · NPI 1285029652

Sandberg Modern Dental LLC is a General Practice Dentistry in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
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

6535 W North Ave
Wauwatosa, WI 53213-2016
Phone: (414) 258-8190
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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 · Licence WI 6664-15 (WI)

Record details

NPI number1285029652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Sandberg — Owner · (414) 258-8190
NPI enumeratedApril 2, 2015
Last updated in NPPESApril 2, 2015
Mailing address6535 W North Ave, Wauwatosa, WI 53213-2016

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