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Active NPI 1639234677 Individual Practitioner Female Practitioner

Dr. Lysette Lucille Brueggeman , DDS

Dentist - General Practice • West Bend, WI

Professional Overview & Biography Verified Profile Summary

Dr. Lysette Brueggeman, DDS is a registered healthcare professional specializing in Dentist - General Practice in West Bend, WI. Practice services are available at 145 N 18TH AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

145 N 18th Avenue

West Bend, WI 53095

Telephone 2623343084
Fax 2623343552
Associated Practice Facility / Clinic
🏢 Cedar Lake Dental Professionals Ltd Facility NPI 1790840734

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Bend, WI

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

Practicing in West Bend, 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 4368

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33713000 (WI)
Commercial Insurance / Payer ID United Concordia
650286

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Michael Kopecky , DDS MS

Dentist - Prosthodontics

NPI 1023173069

DDSMS

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 145 N 18TH AVENUE, WEST BEND, WI 53095 (Tel: 2623343084)

📍
Updated Business Mailing Address July 08, 2007

Registered at 145 N 18TH AVENUE, WEST BEND, WI 53095 (Tel: 2623343084)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LYSETTE BRUEGGEMAN, DDS

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

Dentist (License #4368 in WI)

🟢
Initial NPI Registration & Enumeration December 27, 2006

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: 1639234677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

145 N 18th Avenue

West Bend, WI 53095

Phone: 2623343084

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.