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Active NPI 1154473049 Individual Practitioner Male Practitioner

Dr. Keith A Stummer , DDS

Dentist - General Practice • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Dr. Keith Stummer, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kenosha, WI. Practice services are available at 3100 80TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 80th St

Kenosha, WI 531424946

Telephone 2626942961
Fax 2629427340

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Kenosha, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 3556015

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. David Crewe , DDS

Dentist - General Practice

NPI 1033236971

Doctor of Dental Surgery

Dr. Hannah Richards , DDS

Dentist - General Practice

NPI 1043199813

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3100 80TH ST, KENOSHA, WI 531424946 (Tel: 2626942961)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4467 114TH ST, PLEASANT PRAIRIE, WI 531583860 (Tel: 2627640368)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH STUMMER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3556015 in WI)

🟢
Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154473049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4467 114th St

Pleasant Prairie, WI 531583860

Phone: 2627640368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.