Idental LLC

Idental LLC is a healthcare organization registered as Dentist in Mt Pleasant, WI, holding Type 2 (organization) NPI 1861867947 since 2015. The authorized official on file is Vivek Vasudeva, Co-Ceo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1861867947
Entity type	Organization (Type 2)
Legal business name	Idental LLC
Practice address	1320 S GREEN BAY RD, Mt Pleasant, WI, 53406
Phone	8475611424
Enumeration date	2015-12-01
Last updated in NPPES	2015-12-01

Authorized official

Name	Vivek Vasudeva
Title	Co-Ceo
Phone	8475611424

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
122300000X	Dentist	Primary	—	—

Copy-ready billing details

Provider: Idental LLC
NPI: 1861867947
Taxonomy: 122300000X (Dentist)
Address: 1320 S GREEN BAY RD, Mt Pleasant, WI, 53406

Providers at this address

NPI	Name	Type	Specialty	Location
1730172248	Jeffrey Zeller	Individual	General Practice Dentistry	Racine, WI
1003912916	David Nelson	Individual	Dentist	Mount Pleasant, WI
1396184370	Adam Pamer	Individual	Pediatric Dentistry	Mt Pleasant, WI
1134575566	Kristine Blumm	Individual	Dental Hygienist	Mount Pleasant, WI
1669920831	Cindi Due	Individual	Dental Hygienist	Mount Pleasant, WI
1508316753	Idental	Organization	Dental Hygienist	Mount Pleasant, WI
1538600135	Karen Marano	Individual	Dental Hygienist	Mount Pleasant, WI
1073029609	Nicole Hartman	Individual	Physical Therapy Assistant	Mt Pleasant, WI

Verify this record

Cross-check NPI 1861867947 against the authoritative CMS record: view Idental LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-12-01. Verify at npiregistry.cms.hhs.gov.

Where is Idental LLC located?

The practice location on file with NPPES is in Mt Pleasant, WI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-12-01.