DR. INNA KOTLYARENKO


Address: 10425 W North Ave, Suite 335, Wauwatosa, WI 53226
Phone: 4144763909

DR. INNA KOTLYARENKO (NPI# 1144423427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144423427
Entity Type Individual
Full Name DR. INNA KOTLYARENKO
Credential DDS
Practice Address 10425 W North Ave
Suite 335
Wauwatosa
WI 53226
Practice Telephone 4144763909
Mailing Telephone 4144763909
Mailing Fax Number 4144763909
Enumeration Date 2007-06-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
3358 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 33468300 05

Office Location

Street Address 10425 W NORTH AVE
SUITE 335
City WAUWATOSA
State WI
Zip Code 53226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841721388 Elevate Physical Therapy Clinic/Center 10425 W North Ave, 324, Wauwatosa, WI 53226-2416 2017-03-26
1811347958 University of Wisconsin System-non Payroll Audiologist 10425 W North Ave, Suite 110, Wauwatosa, WI 53226-2416 2016-06-20
1972974079 Bright Beginnings Psychiatry LLC Psychiatry & Neurology 10425 W North Ave, Suite 314, Wauwatosa, WI 53226-2416 2015-10-14
1679811848 Melissa K Smothers Psychologist 10425 W North Ave, Ste 239, Wauwatosa, WI 53226-2416 2013-01-23
1710248125 Stacy Hajinian Michels Dentist 10425 W North Ave, Suite 302, Wauwatosa, WI 53226-2416 2012-06-01
1578871422 Heather Lauren Zingler Audiologist 10425 W North Ave, Suite 110, Wauwatosa, WI 53226-2416 2010-09-14
1205016912 Patricia K.b. Chirillo Audiologist 10425 W North Ave, Suite 110, Wauwatosa, WI 53226-2416 2007-11-09
1841404464 Randal G Stelzner Dentist 10425 W North Ave, Suite #335, Wauwatosa, WI 53226-2416 2007-05-10
1427180843 Thomas Warren Frost Dentist 10425 W North Ave, Suite 249, Wauwatosa, WI 53226-2416 2007-03-12
1861521171 Maryann Reese Marriage & Family Therapist 10425 W North Ave, Suite 314, Wauwatosa, WI 53226-2416 2007-03-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588131163 Shiloh Joshua Golden Dentist 10625 W North Ave Ste 320, Wauwatosa, WI 53226-2315 2018-10-31
1699205336 Patrick T Clancy Dentist 11904 W North Ave Ste 105, Wauwatosa, WI 53226-2062 2017-06-15
1396190476 Katharine Nelson Suwalski Dentist 7626 Warren Ave, Wauwatosa, WI 53213-2258 2016-04-26
1538360086 Leonard R. Machi Dentist 12217 W North Ave, Wauwatosa, WI 53226-2056 2007-05-31
1073725586 John R Wussow Dentist 10225 W. Capitol Dr, Wauwatosa, WI 53222 2007-05-04
1508084245 John L Scheels Dentist 6803 W Wells St, Wauwatosa, WI 53213-3811 2007-04-20
1447375431 Timothy Richard Kirkpatrick Dentist 11040 W Bluemound Rd, Suite 201, Wauwatosa, WI 53226 2007-03-20
1518011485 Geoffrey L. Mykleby Dentist 8700 W Watertown Plank Rd Ste 11, Wauwatosa, WI 53226-3595 2007-01-22
1316004864 Robin Ann Gorman Dentist 6101 W Vliet St, Suite 101, Wauwatosa, WI 53213-2485 2007-01-03
1376608257 Tom Tongas Dentist 2380 N 124th St, Wauwatosa, WI 53226-1071 2006-12-22
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Competitor

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City WAUWATOSA
Zip Code 53226

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Dataset Information

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.

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