Laura L. Gradecki, D.D.S

General Practice Dentistry · Mequon, WI

Individual Active NPI

NPI number 1790820538

Practice location

10555 N Port Washington Rd
Suite 101
Mequon, WI 53092-5582
Phone
(262) 241-4460
Fax
(262) 241-4486

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NPI record

NPI
1790820538
Entity type
Individual (Type 1)
Enumeration date
February 20, 2007
Last updated
June 23, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3633-015 WI

Mailing address

1727 W El Rancho Dr
Mequon, WI 53092-5637
Phone
(262) 241-0978

About Dr. Gradecki

Laura L. Gradecki, 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 10555 N Port Washington Rd, Suite 101, Mequon, WI 53092-5582. The NPI number 1790820538 was assigned on February 20, 2007 and the record was last updated on June 23, 2014.

Dr. Gradecki lists a license in the registry: #3633-015 (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 Laura L. Gradecki, D.D.S?

The NPI number is 1790820538.

What is the phone number of Dr. Gradecki?

The phone number listed for the practice location is (262) 241-4460.

Where is Dr. Gradecki located?

10555 N Port Washington Rd, Suite 101, Mequon, WI 53092-5582.

What is the taxonomy code for Dr. Gradecki?

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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