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

Wauwatosa Family Dental

Organization Dental Clinic/Center · NPI 1821580572

Wauwatosa Family Dental is a Dental Clinic/Center in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018

Practice location Address checks out

11904 W North Ave Ste 105
Wauwatosa, WI 53226-2062
Phone: (414) 454-0700
Fax: (414) 778-0705
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 6886 (WI)

Record details

NPI number1821580572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Potrykus — Owner · (262) 646-2771
NPI enumeratedMay 30, 2018
Last updated in NPPESMay 30, 2018
Mailing address920 Indian Spring Dr, Delafield, WI 53018-2242

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