DR. SHEA M MCCUE (NPI# 1114185204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114185204 |
Entity Type | Individual |
Full Name | DR. SHEA M MCCUE |
Credential | D.D.S. |
Practice Address |
120 Greenway Cross Ct Belleville WI 53508-8800 |
Practice Telephone | 6084243222 |
Practice Fax Number | 6084243244 |
Mailing Telephone | 6084243222 |
Mailing Fax Number | 6084243244 |
Enumeration Date | 2008-05-27 |
Last Update Date | 2018-05-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 5027-015 | WI | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
21002690 | IL | Dental Providers |
Street Address |
120 GREENWAY CROSS CT |
City | BELLEVILLE |
State | WI |
Zip Code | 53508-8800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609163807 | Neighborhood Smiles of Belleville, LLC | Dentist | 120 Greenway Cross Ct, Belleville, WI 53508-8800 | 2011-07-07 |
1205097029 | Daniel P Connors | Dentist | 120 Greenway Cross Ct, Belleville, WI 53508-8800 | 2008-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255980900 | Nancy Statz | Technician | W3495 Buol Rd., Belleville, WI 53508 | 2019-09-05 |
1881177897 | Belleville Hometown Pharmacy LLC | Pharmacy | 1 West Main St, Belleville, WI 53508 | 2018-09-14 |
1487851101 | Belleville Area Emergency Medical Service | Ambulance | 480 River St, Belleville, WI 53508 | 2007-06-27 |
1962604702 | Flesch Chiropractic Ltd | Chiropractor | 29 W. Main St., Belleville, WI 53508 | 2007-06-04 |
1255397121 | Madonna A Binkowski | Social Worker | 21 S Vine Street, Belleville, WI 53508 | 2006-04-21 |
1154381028 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 1121 Bellwest Blvd, Belleville, WI 53508 | 2006-03-24 |
1104455609 | Kane Laks | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
1043849540 | Brian Kenealy | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
1386273852 | Stefanie Sippl | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
1164051686 | Eleanor Meisner | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
Find all providers in zip 53508 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538180617 | Southern Illinois Oral & Maxillofacial Surgery, Ltd. | Dentist | 2900 Frank Scott Pkwy W, Suite 960, Belleville, IL 62223-5000 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
Find all providers with the same taxonomy |
City | BELLEVILLE |
Zip Code | 53508 |
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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.