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Active NPI 1164048047 Individual Practitioner Male Practitioner

Dr. Tejpal Singh Athwal , DDS

Dentist - General Practice • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Dr. Tejpal Athwal, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kenosha, WI. Practice services are available at 5707 75TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5707 75th St

Kenosha, WI 531423603

Telephone 2626970321
Associated Practice Facility / Clinic
🏢 Susan M. Cable, Dds, Sc Facility NPI 1427735463

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

CMS Verified: 2024-10-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 1002315

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. Susan Cable , DDS

Dentist - General Practice

NPI 1083634679

Doctor of Dental Surgery

Dr. Vicki Shah , DDS

Dentist - General Practice

NPI 1841814035

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 18, 2024

Registered at 5707 75TH ST, KENOSHA, WI 531423603 (Tel: 2626970321)

📍
Updated Business Mailing Address October 18, 2024

Registered at 5707 75TH ST, KENOSHA, WI 531423603 (Tel: 2626970321)

NPI Profile Active June 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2020

Registered at 330 E MAIN ST, TWIN LAKES, WI 531819682 (Tel: 2628772161)

📍
Updated Business Mailing Address June 17, 2020

Registered at 330 E MAIN ST, TWIN LAKES, WI 531819682

👤
Provider Name / Credentials Updated June 17, 2020

Recorded as TEJPAL ATHWAL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2020

Dentist (License #1002315 in WI)

🟢
Initial NPI Registration & Enumeration June 17, 2020

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: 1164048047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2020
Last Update: October 18, 2024
Sole Proprietor: No

Mailing Address

5707 75th St

Kenosha, WI 531423603

Phone: 2626970321

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.