Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790308666 Individual Practitioner Female Practitioner

Dr. Michelle Lynn Dematthew , DDS

Dentist - General Practice • Windsor, WI

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Dematthew, DDS is a registered healthcare professional specializing in Dentist - General Practice in Windsor, WI. Practice services are available at 6729 LAKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6729 Lake Rd

Windsor, WI 53598

Telephone 6088465407
Associated Practice Facility / Clinic
🏢 Balanced Chiropractic Llc Facility NPI 1710437652

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Windsor, WI

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

Practicing in Windsor, 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: 2020-06-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 1002314

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

3 Associated Practitioners
NPI 1356564249

Doctor of Dental Surgery

Dr. Tara Bell , DDS

Dentist - General Practice

NPI 1790799302

Doctor of Dental Surgery

Dr. Scott Nettum , DDS

Dentist - General Practice

NPI 1962626077

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 14, 2023

Registered at 6729 LAKE RD, WINDSOR, WI 53598 (Tel: 6088465407)

👤
Provider Name / Credentials Updated September 14, 2023

Recorded as MICHELLE DEMATTHEW, DDS

👤
Provider Name / Credentials Updated June 15, 2020

Recorded as MICHELLE ZELLMER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Dentist (License #1002314 in WI)

NPI Profile Active May 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2020

Registered at 333 W BROWN DEER RD STE A, FOX POINT, WI 532172370 (Tel: 4142365885)

📍
Updated Business Mailing Address May 26, 2020

Registered at 1635 N WATER ST, MILWAUKEE, WI 532022793 (Tel: 4147914170)

👤
Provider Name / Credentials Updated May 26, 2020

Recorded as MICHELLE ZELLMER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 26, 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: 1790308666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2020
Last Update: September 14, 2023
Sole Proprietor: Yes

Mailing Address

1635 N Water St

Milwaukee, WI 532022793

Phone: 4147914170

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.