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

The Kids Dentist LLC

Organization Pediatric Dentistry · NPI 1407257108

The Kids Dentist LLC is a Pediatric Dentistry in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014
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

10618 N Port Washington Rd
Mequon, WI 53092-5013
Phone: (262) 241-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 5127-015 (WI)

Record details

NPI number1407257108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Fisher — Owner · (262) 241-0400
NPI enumeratedSeptember 12, 2014
Last updated in NPPESSeptember 12, 2014
Mailing address10618 N Port Washington Rd, Mequon, WI 53092-5013

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