Keith A. Stummer, D.D.S.

General Practice Dentistry · Kenosha, WI

Individual Active NPI

NPI number 1154473049

Practice location

3100 80TH St
Kenosha, WI 53142-4946
Phone
(262) 694-2961
Fax
(262) 942-7340

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NPI record

NPI
1154473049
Entity type
Individual (Type 1)
Enumeration date
January 18, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3556015 WI

Mailing address

4467 114TH St
Pleasant Prairie, WI 53158-3860
Phone
(262) 764-0368

About Dr. Stummer

Keith A. Stummer, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3100 80TH St, Kenosha, WI 53142-4946. The NPI number 1154473049 was assigned on January 18, 2007 and the record was last updated on July 8, 2007.

Dr. Stummer lists a license in the registry: #3556015 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith A. Stummer, D.D.S.?

The NPI number is 1154473049.

What is the phone number of Dr. Stummer?

The phone number listed for the practice location is (262) 694-2961.

Where is Dr. Stummer located?

3100 80TH St, Kenosha, WI 53142-4946.

What is the taxonomy code for Dr. Stummer?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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