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

Dr. Sofia Grace Dacquisto, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477344406

Dr. Sofia Grace Dacquisto, DDS is a Dentist in Milwaukee, Wisconsin. Qualified in 2025, 1 year ago. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
Specialties on file
2
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

3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Phone: (414) 935-8000
Fax: (414) 344-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6001846 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477344406
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 17, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address4615 W Woodward Dr, Franklin, WI 53132-7610

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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