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

Daniel Richard Boettcher, DDS

Individual provider Dentist · NPI 1104619303

Daniel Richard Boettcher, DDS is a Dentist in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2111 W Wisconsin Ave Apt 17
Milwaukee, WI 53233-1936
Phone: (920) 376-1478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6001804-15 (WI)

Record details

NPI number1104619303
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address2111 W Wisconsin Ave Apt 17, Milwaukee, WI 53233-1936

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