NESIC DENTL LOUNGE – NPI #1164234290
Clinic/Center

NESIC DENTL LOUNGE is an AHC clinic located in MENOMONEE FALLS, WI. NPPES has assigned the NPI number 1164234290 to NESIC DENTL LOUNGE on January 24, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NESIC DENTL LOUNGE below.

NPI Profile for
NESIC DENTL LOUNGE

NPI Number
1164234290
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NESIC DENTL LOUNGE
Primary location
N71 W13040 W APPLETON AVENUE
SUITE 200
MENOMONEE FALLS, WI 53051
Phone: (815) 830-5729 Fax:
Mailing address
570 SOUTHWIND DR UNIT 207
LAKE GENEVA, WI 53147-4713
Phone: (815) 830-5729 Fax:
Organization Subpart
No
Authorized Official
EMILY NESIC
OWNER
Phone: (815) 830-5729
Updated
Certification Date
Jan 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.