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Random Lake Dentistry, Inc

Q: What type of organization is Random Lake Dentistry, Inc?

Random Lake Dentistry, Inc is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

Dental Clinic/Center in Random Lake, WI · enumerated 2024 · authorized official Hooman Abdolisereshki, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982421046

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Random Lake Dentistry, Inc

Practice address 37 Hickory Dr, Random Lake, WI, 53075

Phone (920) 994-4367

Enumeration date Sep 20, 2024

Last updated in NPPES Sep 20, 2024

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Hooman Abdolisereshki

Title Owner

Phone (920) 892-8466

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Random Lake Dentistry, Inc?

Random Lake Dentistry, Inc is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

Providers at this address

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Generations Family Dental Care-Random Lake, LLC General Practice Dentistry · Random Lake, WI NPI 1407387483

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-20.