MICHELLE NATALIE DACOSTA (NPI# 1104963784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104963784 |
| Entity Type | Individual |
| Full Name | MICHELLE NATALIE DACOSTA |
| Credential | DDS |
| Practice Address |
2555 N Dr Martin Luther King Dr Milwaukee Health Services Inc Milwaukee WI 53212-2709 |
| Practice Telephone | 4143728080 |
| Practice Fax Number | 4147603983 |
| Mailing Telephone | 4143728080 |
| Mailing Fax Number | 4147603983 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4727 | WI | Dental Providers |
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
4727 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235413352 | Michelle Elizabeth Dacosta | Anesthesiology | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2011-10-07 |
| Street Address |
2555 N DR MARTIN LUTHER KING DR MILWAUKEE HEALTH SERVICES INC |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235231085 | Mckinley Petty IIi | Family Medicine | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2006-09-02 |
| 1558747352 | Christopher Derek Johnson | Pharmacist | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2015-08-04 |
| 1528483542 | Angelia Raychell Wilks-tate | Dietitian, Registered | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2014-02-27 |
| 1164853990 | Sara Doschadis Atteberry | Registered Nurse | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212 | 2013-12-04 |
| 1043657505 | Richard Lightsey II | Dentist | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2013-05-23 |
| 1861626012 | Julie Joy Noel | Advanced Practice Midwife | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2009-05-02 |
| 1881892396 | Karen Mary Miller | Nutritionist | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2007-07-05 |
| 1316162217 | Cormac Kehoe | Pharmacist | 2555 N Dr Martin Luther King Dr, Pharmacy, Milwaukee, WI 53212-2709 | 2007-04-16 |
| 1518005818 | Milwaukee Health Services Inc | Clinic/Center | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2007-02-01 |
| 1861539421 | Carla Louise Wright | Physical Medicine & Rehabilitation | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| 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 |
|---|---|---|---|---|
| 1053962654 | Flavio De Alcantara Camejo | Dentist | 1801 W Wisconsin Ave Rm S221, Milwaukee, WI 53233-2186 | 2019-09-25 |
| 1083276893 | Michelle Wanserski | Dentist | 3460 N Humboldt Blvd, Milwaukee, WI 53212-1702 | 2019-07-01 |
| 1720548787 | Jared Holloway | Dentist | 1801 W Wisconsin Ave Rm 243, Milwaukee, WI 53233-2186 | 2019-03-24 |
| 1245796796 | Amelia Anne Leuer | Dentist | 9000 W Wisconsin Ave Ste 310, Milwaukee, WI 53226-4874 | 2019-02-20 |
| 1710464904 | Ashley Lazar | Dentist | 9200 W Wisconsin, Cfac 5th Floor, Milwaukee, WI 53226 | 2018-07-20 |
| 1073005476 | Habib Ali Rahemtulla | Dentist | 7635 W Bluemound Rd Ste 208, Milwaukee, WI 53213-3500 | 2018-05-31 |
| 1376069690 | Fiona Kwok | Dentist | 4144 N 104th St, Milwaukee, WI 53222-1205 | 2017-08-17 |
| 1104346212 | Igor Sorin | Dentist | 132 N Jefferson St Apt 450, Milwaukee, WI 53202-6152 | 2017-06-21 |
| 1962938605 | Aaron C Seubert | Dentist | 925 E Wells St, Apt. 222, Milwaukee, WI 53202-3900 | 2017-05-01 |
| 1174975007 | Scott Macdonald | Dentist | 3218 N Summit Ave, Milwaukee, WI 53211-3151 | 2016-07-03 |
| Find all providers in MILWAUKEE | ||||
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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.