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

Upper Lakes Dental, LLC

Organization Dental Clinic/Center · NPI 1124580352

Upper Lakes Dental, LLC is a Dental Clinic/Center in Winneconne, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019
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

908 E Main St Ste C
Winneconne, WI 54986-9672
Phone: (920) 582-0688
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124580352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Gonzalez — Owner · (920) 582-0688
NPI enumeratedApril 5, 2019
Last updated in NPPESApril 5, 2019
Mailing addressPo Box 369, Winneconne, WI 54986-0369

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