DENTAL SPECIALISTS OF MILWAUKEE LLC (NPI# 1013482298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013482298 |
| Entity Type | Organization |
| Organization Name | DENTAL SPECIALISTS OF MILWAUKEE LLC |
| Practice Address |
8405 W Forest Home Ave Greenfield WI 53228-3407 |
| Practice Telephone | 4144257710 |
| Mailing Telephone | 4144257710 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | DR. KELSEY SHINGO TENGAN (PERIODONTIST, PARTNER) |
| Authorized Official Telephone | 8082831817 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
8405 W FOREST HOME AVE |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53228-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393910 | Scott J Wagenknecht | Chiropractor | 8405 W Forest Home Ave, Ste 101, Greenfield, WI 53228-3407 | 2005-08-16 |
| 1467663450 | Longo Chiropractic, S.c. | Chiropractor | 8405 W Forest Home Ave, Suite 101, Greenfield, WI 53228-3407 | 2007-05-24 |
| 1962553834 | Progressive Periodonitics and Dental Implants | Dentist | 8405 W Forest Home Ave, Suite 203, Greenfield, WI 53228-3407 | 2007-01-16 |
| 1497842660 | Andrew S Patterson | Dentist | 8405 W Forest Home Ave, Greenfield, WI 53228-3407 | 2006-10-06 |
| 1598773764 | Timothy J Mcnamara | Dentist | 8405 W Forest Home Ave, Suite 203, Greenfield, WI 53228-3407 | 2006-08-04 |
| 1740266170 | John Edward Bissell | Dentist | 8405 W Forest Home Ave, Greenfield, WI 53228-3407 | 2005-12-18 |
| 1447244850 | Steven Michael Longo | Chiropractor | 8405 W Forest Home Ave, Ste 101, Greenfield, WI 53228-3407 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1710116561 | Kate Elizabeth Stolowski | Registered Nurse | 4616 S. 109th St, Greenfield, WI 53228 | 2009-07-14 |
| 1548486467 | Cynthia Denise Ireland | Physical Therapy Assistant | 3939 S 92 St, Greenfield, WI 53228 | 2007-04-18 |
| 1598800740 | Shorehaven Behavioral Health Inc | Counselor | 8405 W Forest Home Av, Suite 104, Milwaukee, WI 53228 | 2007-02-21 |
| 1194884114 | Thomas Stanley Omalley | Dentist | 8555 W Forest Home Ave, Greenfield, WI 53228 | 2006-12-06 |
| 1750468732 | Omalley Dentistry Sc | Dentist | 8555 W Forest Hm Ave, Suite 101, Greenfield, WI 53228 | 2006-11-01 |
| 1114002359 | Eileen Mary Langyel | Dentist | 3783 So 108th St, Greenfield, WI 53228 | 2006-10-26 |
| 1801998778 | William Carini Dds Sc | Dentist | 10707 W Beloit Road, Advanced Dental Treatment Center, Greenfield, WI 53228 | 2006-09-02 |
| 1497857304 | William J Carini | Dentist | 10707 W Beloit Rd, Advanced Dental Treatment Center, Green Field, WI 53228 | 2006-09-01 |
| 1609814367 | Cedar Creek Family Counseling, Inc | Counselor | 9910 W. Layton Ave, Suite 2, Greenfield, WI 53228 | 2006-06-03 |
| Find all providers in zip 53228 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821318361 | Jonell K. Hopeck, Dds, PC | Dentist | 33 Riddell St Ste 6, Greenfield, MA 01301-2026 | 2010-06-07 |
| 1558436121 | Steven Henry Goldsher | Dentist | 289 High Street, Greenfield, MA 01301 | 2006-11-21 |
| 1235132192 | Constantine Stamatelakys | Dentist | 2933 W Layton Ave, Greenfield, WI 53221-2626 | 2005-05-24 |
| 1053766501 | Greenfield Periodontics LLC | Dentist | 120 W Mckenzie Rd, Ste J, Greenfield, IN 46140-1072 | 2016-05-03 |
| 1770911976 | Premier Periodontics LLC | Dentist | 2933 W Layton Ave, Greenfield, WI 53221-2626 | 2013-10-24 |
| 1265743488 | Eddie Morales | Dentist | 2933 W Layton Ave, Greenfield, WI 53221-2626 | 2010-06-23 |
| 1386830883 | Frederick D. Mesloh PC | Dentist | 33 Riddell St, Greenfield, MA 01301-2025 | 2007-09-18 |
| 1962553834 | Progressive Periodonitics and Dental Implants | Dentist | 8405 W Forest Home Ave, Suite 203, Greenfield, WI 53228-3407 | 2007-01-16 |
| 1841303278 | Steven A Geller | Dentist | 33 Riddell St, Greenfield, MA 01301-2025 | 2006-08-17 |
| 1598773764 | Timothy J Mcnamara | Dentist | 8405 W Forest Home Ave, Suite 203, Greenfield, WI 53228-3407 | 2006-08-04 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53228 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.