Mark J. Grevlich, DDS

Dentist · Oconomowoc, WI

Individual Active NPI

NPI number 1245498641

Practice location

N68w33420 Hwy K
Oconomowoc, WI 53066
Phone
(262) 966-9798
Fax
(262) 966-0443

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NPI record

NPI
1245498641
Entity type
Individual (Type 1)
Enumeration date
June 2, 2008
Last updated
June 2, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X WI3153 WI

About Dr. Grevlich

Mark J. Grevlich, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is N68w33420 Hwy K, Oconomowoc, WI 53066. The NPI number 1245498641 was assigned on June 2, 2008 and the record was last updated on June 2, 2008.

Dr. Grevlich lists a license in the registry: #WI3153 (WI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark J. Grevlich, DDS?

The NPI number is 1245498641.

What is the phone number of Dr. Grevlich?

The phone number listed for the practice location is (262) 966-9798.

Where is Dr. Grevlich located?

N68w33420 Hwy K, Oconomowoc, WI 53066.

What is the taxonomy code for Dr. Grevlich?

The primary taxonomy code is 122300000X – Dentist.

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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