Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ANTONOFF DENTAL, LLC
Active
Organization
ANTONOFF DENTAL, LLC
Active
Other names
Modern Family Dentists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ANTONOFF (DENTISTS)
(414) 698-4324
Entity
Organization
Contact information
Practice address
6803 SHERIDAN RD, KENOSHA, WI 53143-1321
(262) 484-4356
Mailing address
6803 SHERIDAN RD, KENOSHA, WI 53143-1321
(262) 484-4356
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up