MEDICARE: LIBRARY PARK DENTAL SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5002014	WI

General Provider Information

NPI Number	:	1396903472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBRARY PARK DENTAL SC

Provider Business Mailing Address
First Line	:	6121 7TH AVE
Second Line	:
City	:	KENOSHA
State	:	WI
Zip	:	53143-4506
Country	:	US
Telephone Number	:	262-654-6535
Fax Number	:	262-654-3358

Provider Business Practice Location Address
First Line	:	6121 7TH AVE
Second Line	:
City	:	KENOSHA
State	:	WI
Zip	:	53143-4506
Country	:	US
Telephone Number	:	262-654-6535
Fax Number	:	262-654-3358

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FC CHIAPPETTA
Credential	:	DDS
Telephone Number	:	262-654-6535

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	09/28/2016

Similar Medicare Providers

1104921279 — DR. VILAS SASTRY DMD
Practice Location Address:

6121 7TH AVE
KENOSHA, WI
53143-4506

Practice Phone: 262-654-6535
Practice Fax:

1982779658 — DR. FERDINAND CARL CHIAPPETTA DDS
Practice Location Address:

6121 7TH AVE
KENOSHA, WI
53143-4506

Practice Phone: 262-654-6535
Practice Fax: 262-654-3358

1922266923 — MRS. WENDY SUSAN CROWE-HAUGSTAD DDS
Practice Location Address:

6121 7TH AVE
KENOSHA, WI
53143-4506

Practice Phone: 262-654-6535
Practice Fax: 262-654-3358

1205452224 — PAUL JIYOUNG SUNG DDS
Practice Location Address:

6121 7TH AVE
KENOSHA, WI
53143-4506

Practice Phone: 262-654-6535
Practice Fax:

1639202971 — MR. JOSEPH J OLSZEWSKI MS LAT CSCS
Practice Location Address:

4506 79TH ST
KENOSHA, WI
53142-4519

Practice Phone: 262-705-1203
Practice Fax:

1477410694 — STEPHANIE LYNN KARLS
Practice Location Address:

2108 63RD ST
KENOSHA, WI
53143-4454

Practice Phone: 262-652-2406
Practice Fax:

Directions to “LIBRARY PARK DENTAL SC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.