Lakeshore Community Dental Clinic
Dental Office
1290 North Ave, Lakeshore Community Dental Clinic, Cleveland
Wisconsin, 53015-1412
920-693-1386 Maps & DirectionsLakeshore Community Dental Clinic is a renowned Dental office in Cleveland, Wisconsin. It is located at 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, WI and its contact number is 920-693-1386. The authorized person for Lakeshore Community Dental Clinic is Ms. Barbara J Dodge
who is Dean, Health And Human Services of the place and their contact number is 920-693-1386.
Lakeshore Community Dental Clinic Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Lakeshore Community Dental Clinic Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lakeshore Community Dental Clinic |
| Specialization: | Dentistry |
| Address: | 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland,
Wisconsin, 53015-1412 |
| Phone: | 920-693-1386 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Barbara J Dodge |
| Position: | Dean, Health And Human Services |
| Contact Number: | 920-693-1386 |
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 Lakeshore Community Dental Clinic Office are as mentioned below.
| NPI Number: | 1023275013 |
| NPI Enumeration Date: | 19 May, 2008 |
| NPI Last Update On: | 19 May, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakeshore Community Dental Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 38394700 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lakeshore Community Dental Clinic
1290 North Ave, Lakeshore Community Dental Clinic
Cleveland, Wisconsin |
| Zip: | 53015-1412 |
| Phone Number: | 920-693-1386 |
Patients can reach Lakeshore Community Dental Clinic at
1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, Wisconsin or can
call to book an appointment on 920-693-1386.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.