Cedar Lake Dental Professionals Ltd
Prosthetic Dentistry Clinic
145 N 18th Avenue, West Bend
Wisconsin, 53095
262-334-3084 262-334-3552
Maps & DirectionsCedar Lake Dental Professionals Ltd is a Prosthetic Dentistry Clinic in West Bend, Wisconsin. It is located at 145 N 18th Avenue, West Bend, WI and its contact number is 262-334-3084. The authorized person for Cedar Lake Dental Professionals Ltd is Dr. Lysette L Brueggeman
who is Owner of the clinic and their contact number is 262-334-3084. The primary license number for Cedar Lake Dental Professionals Ltd is 4368 (General Practice) in Wisconsin.
Cedar Lake Dental Professionals Ltd Clinic is specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Clinic Profile:
Cedar Lake Dental Professionals Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Cedar Lake Dental Professionals Ltd |
| Specialization: | Prosthetic Dentistry |
| Clinic Address: | 145 N 18th Avenue, West Bend,
Wisconsin, 53095 |
| Phone: | 262-334-3084 |
| Fax: | 262-334-3552 |
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: | Dr. Lysette L Brueggeman |
| Position: | Owner |
| Contact Number: | 262-334-3084 |
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 Cedar Lake Dental Professionals Ltd clinic are as mentioned below.
| NPI Number: | 1790840734 |
| NPI Enumeration Date: | 27 Dec, 2006 |
| NPI Last Update On: | 11 Sep, 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 Cedar Lake Dental Professionals Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 4368 | Wisconsin | Primary | |
| Prosthodontics | 4408 | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33761800 | Other | Wisconsin | Medicaid |
| 33713000 | Medicaid | Wisconsin | |
| 650286 | Other | | United Concordia |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Cedar Lake Dental Professionals Ltd
145 N 18th Avenue,
West Bend, Wisconsin |
| Zip: | 53095 |
| Phone Number: | 262-334-3084 |
| Fax Number: | 262-334-3552 |
Patients can reach Cedar Lake Dental Professionals Ltd at
145 N 18th Avenue, West Bend, Wisconsin or can
call to book an appointment on 262-334-3084.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.