MEDICARE: KETTERBLAIR DENTAL PARTNERS, LLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1558221580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KETTERBLAIR DENTAL PARTNERS, LLC

Provider Business Mailing Address
First Line	:	1200 4TH ST # 716
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-3763
Country	:	US
Telephone Number	:	414-377-3535
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 N MILWAUKEE ST STE 530
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-5818
Country	:	US
Telephone Number	:	414-377-3535
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SARAH BLAIR
Credential	:	DDS
Telephone Number	:	414-377-3535

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	11/12/2025

Similar Medicare Providers

1265596464 — DR. JOHN R. MOSER DDS
Practice Location Address:

219 N MILWAUKEE ST FL 5
MILWAUKEE, WI
53202-5818

Practice Phone: 414-273-9800
Practice Fax: 414-273-9807

1285788349 — THIRD WARD DENTAL, SC
Practice Location Address:

219 N MILWAUKEE ST FL 5
MILWAUKEE, WI
53202-5818

Practice Phone: 414-273-9800
Practice Fax: 414-273-9807

1134709561 — LOVE OF GRACE ADULT SERVICES
Practice Location Address:

4556 N 41ST ST
MILWAUKEE, WI
53209-5818

Practice Phone: 262-281-1574
Practice Fax:

1881701340 — DR. PAUL M MAES DO
Practice Location Address:

5818 W CAPITOL DR
MILWAUKEE, WI
53216-2247

Practice Phone: 414-449-2114
Practice Fax:

1558478099 — MS. SHARON A KRUKOWSKI APNP
Practice Location Address:

5818 W CAPITOL DR
MILWAUKEE, WI
53216-2247

Practice Phone: 414-449-2114
Practice Fax:

1851479349 — DR. WAYMAN PARKER MD
Practice Location Address:

5818 W CAPITOL DR
MILWAUKEE, WI
53216

Practice Phone: 414-449-2114
Practice Fax: 414-449-9299

Directions to “KETTERBLAIR DENTAL PARTNERS, LLC ” 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.