FAMILY DENTAL OF SOUTH EAST WISCONSIN, S.C. (NPI# 1053312389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053312389 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL OF SOUTH EAST WISCONSIN, S.C. |
| Other Organization Name | PETER M WILSENS DDS SC |
| Practice Address |
10202 W Hayes Ave West Allis WI 53227-2042 |
| Practice Telephone | 4143212720 |
| Practice Fax Number | 4143217718 |
| Mailing Telephone | 4143212720 |
| Mailing Fax Number | 4143217718 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | DR. THOMAS P CASEY (EMPLOYEE) |
| Authorized Official Telephone | 4143212720 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 6783 | WI | Dental Providers |
| N | 122300000X | Dentist | 2304 | WI | Dental Providers |
| Y | 122300000X | Dentist | 3499 | WI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Peter M Wilsens DDS SC | Former Legal Business Name - Organization |
| Street Address |
10202 W HAYES AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033520770 | Mariela Siehoff | Dentist | 10202 W Hayes Ave, West Allis, WI 53227-2042 | 2014-05-15 |
| 1457642746 | C. R. Hartmann, D.d.s., S.c. | Dentist | 10202 W Hayes Ave, West Allis, WI 53227-2042 | 2011-04-21 |
| 1760641369 | Paul Ronald Mahn | Dentist | 10202 W Hayes Ave, West Allis, WI 53227-2042 | 2008-06-09 |
| 1194718007 | Thomas P Casey | Dentist | 10202 W Hayes Ave, West Allis, WI 53227-2042 | 2005-08-25 |
| 1447243357 | Peter M Wilsens | Dentist | 10202 W Hayes Ave, West Allis, WI 53227-2042 | 2005-08-25 |
| 1659372886 | Clifford Robert Hartmann | Dentist | 10202 W Hayes Ave, West Allis, WI 53227-2042 | 2005-08-10 |
| 1427050434 | James L. Cook Dds,sc | Dentist | 10202 W Hayes Ave, West Allis, WI 53227-2042 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700239134 | Joshua Mark Morales | Dentist | 2433 S 63rd St, West Allis, WI 53219-2004 | 2016-07-20 |
| 1912252123 | Aanal Keyur Parikh | Dentist | 2572 S 76th St, West Allis, WI 53219-2476 | 2012-07-13 |
| 1811281991 | Amanda M Clifford | Dentist | 6425 W Greenfield Ave, West Allis, WI 53214-4939 | 2011-06-06 |
| 1548320732 | Jerome Harold Margraff | Dentist | 8410 W Cleveland Ave, West Allis, WI 53227 | 2006-12-11 |
| 1194884130 | John E Eichholz | Dentist | 10708 W Hayes Ave, West Allis, WI 53227 | 2006-12-06 |
| 1407923295 | Richard C Verbos | Dentist | 10915 W Lincoln Avenue, West Allis, WI 53227-1129 | 2006-11-29 |
| 1811425408 | Silvia Bautista Morrobel | Dentist | 1469 S 70th St, West Allis, WI 53214-4814 | 2017-05-26 |
| 1831578897 | Linh Le Hoai Tran | Dentist | 2572 S 76th St, West Allis, WI 53219-2476 | 2015-05-23 |
| 1396165015 | Jeffrey W Welnak | Dentist | 10533 W National Ave, West Allis, WI 53227-2041 | 2014-04-21 |
| 1528346533 | Geetha Muthukuri | Dentist | 7130 W Greenfield Ave, West Allis, WI 53214-4708 | 2011-07-25 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
Please comment or provide details below to improve the information on FAMILY DENTAL OF SOUTH EAST WISCONSIN, S.C..
| 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.