Blue Lake Smiles is a Pediatric Dental Clinic in Fond Du Lac, Wisconsin. It is located at 845 S Main St Ste 130, Fond Du Lac, WI and its contact number is 920-581-8505. The authorized person for Blue Lake Smiles is Gaurav Jain
who is Pediatric Dentist of the clinic and their contact number is 612-308-2244.
Blue Lake Smiles Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Blue Lake Smiles Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Blue Lake Smiles |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 845 S Main St Ste 130, Fond Du Lac,
Wisconsin, 54935-6116 |
| Phone: | 920-581-8505 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Gaurav Jain |
| Position: | Pediatric Dentist |
| Contact Number: | 612-308-2244 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Blue Lake Smiles clinic are as mentioned below.
| NPI Number: | 1598627820 |
| NPI Enumeration Date: | 25 Nov, 2025 |
| NPI Last Update On: | 25 Nov, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blue Lake Smiles are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Blue Lake Smiles
10749 N Tree Sparrow Dr,
Mequon, Wisconsin |
| Zip: | 53097 |
| Phone Number: | 612-308-2244 |
Patients can reach Blue Lake Smiles at
845 S Main St Ste 130, Fond Du Lac, Wisconsin or can
call to book an appointment on 920-581-8505.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.