DENTAL PROFESSIONALS (NPI# 1154437986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154437986 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS |
| Practice Address |
N112w16760 Mequon Rd Germantown WI 53022-5814 |
| Practice Telephone | 2622557820 |
| Practice Fax Number | 2622559969 |
| Mailing Telephone | 2622557820 |
| Mailing Fax Number | 2622559969 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHAD KRISTOPHER ZAMBON (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 2622557820 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
3169 | WI | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
3507 | WI | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
5490-015 | WI | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5203-015 | WI | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DENTAL PROFESSIONALS | 15495 Sw Sequoia Pkwy, Tigard, OR 97224 |
| Washington State Corporations | DENTAL PROFESSIONALS LLC | 4700 42nd Ave Sw, Suite 460, Seattle, WA 98116-4589 |
| Oklahoma Business Registrations | DENTAL PROFESSIONALS OF OKLAHOMA, PC | 8701 South Garnett Rd, Broken Arrow, OK 74012 |
| Oregon Corporations, Companies and Business Names | DENTAL PROFESSIONALS OF OREGON, P.C. | 14679 Se Sunnyside Rd Ste E, Happy Valley, OR 97086 |
| Virginia Business Entities | Dental Professionals of Virginia P.C. | 6695 Rutledge Dr, Fairfax Station, Virginia 22039-1733 |
| Washington State Corporations | DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE,PC | 300 Deschutes Way Sw Ste 304, Tumwater, WA 98501 |
| Colorado Business Entities | DENTAL PROFESSIONALS USA, INC. | 720 South Colorado Blvd, Penthouse North, Denver, CO 80246 |
| Ohio Business Entities | DENTAL PROFESSIONALS, LLC | One East Fourth St, Suite 1400, Cincinnati, OH 45202 |
| Iowa Business Entities | DENTAL PROFESSIONALS, P.L.C. | 200 North B St, Indianola, IA 50125 |
| Street Address |
N112W16760 MEQUON RD |
| City | GERMANTOWN |
| State | WI |
| Zip Code | 53022-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316932056 | Sheri A. Heppe | Optometrist | N112w16760 Mequon Rd, Germantown, WI 53022-5814 | 2005-09-19 |
| 1538437496 | Eye Associates S C | Optometrist | N112w16760 Mequon Rd, Germantown, WI 53022-5814 | 2011-12-07 |
| 1871871699 | Erin Nicole Kopicki | Dentist | N112w16760 Mequon Rd, Germantown, WI 53022-5814 | 2011-07-27 |
| 1598972663 | Chad Zambon | Dentist | N112w16760 Mequon Rd, Germantown, WI 53022-5814 | 2007-05-17 |
| 1093922734 | Cynthia Jakusz | Dentist | N112w16760 Mequon Rd, Germantown, WI 53022-5814 | 2007-05-16 |
| 1043427784 | Thomas Albiero | Dentist | N112w16760 Mequon Rd, Germantown, WI 53022-5814 | 2007-05-16 |
| 1508072232 | Keith Templin | Dentist | N112w16760 Mequon Rd, Germantown, WI 53022-5814 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669407 | Margaret Jo Mulder | Chiropractor | W164 N11269 Squire Drive Suite B, Germantown, WI 53022 | 2018-11-27 |
| 1316441579 | Community Home Care Services | Home Health | N112 W16298 Mequon Rd, 127, Germantown, WI 53022 | 2018-03-22 |
| 1811426224 | Wi-care LLC | In Home Supportive Care | W175n11163 Stonewood Drive Ste 220, Germantown, WI 53022 | 2017-06-08 |
| 1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
| 1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
| 1134535735 | Erin Therese Grueneberg | Nurse Practitioner | W153 N9990 Neptune Drive, Germantown, WI 53022 | 2014-07-03 |
| 1306286836 | Kyle W Mcmahon | Occupational Therapist | W175 N1117 Stonewood Drive, Suite 100, Germantown, Wi, WI 53022 | 2013-06-28 |
| 1326354713 | Brittany Skogg | Physical Therapist | W175 W11117 Stonewood Dr., Suite 100, Germantown, WI 53022 | 2010-08-24 |
| 1669635066 | Joseph D Deguzman Dds Ms Sc | Clinic/Center | W172 N9723 Division Road, Suite A, Germantown, WI 53022 | 2008-07-07 |
| 1457513988 | Rustin A. West | Dentist | W172 N9723 Division Road Suite A, Germantown, WI 53022 | 2008-06-26 |
| Find all providers in zip 53022 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408101 | Ben Manesh Dds Vii LLC | Dentist | 19851 Observation Dr Ste 355, Germantown, MD 20876-4139 | 2020-05-08 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1811549546 | William David Compton Jr. | Dentist | 2026 Exeter Rd Ste 1, Germantown, TN 38138-3965 | 2019-07-12 |
| 1861985145 | Yasmin Amiri | Dentist | 12800 Middlebrook Rd Ste 104, Germantown, MD 20874-5204 | 2018-06-11 |
| 1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
| 1477864783 | Julia Marina Batres | Dentist | 21114 Archstone Way Apt 208, 208, Germantown, MD 20876-6994 | 2010-07-01 |
| 1891928800 | Mansi R Oza | Dentist | 18870 Bent Willow Cir, #1114, Germantown, MD 20874-5349 | 2009-08-25 |
| 1518115187 | Anne T Heinrich | Dentist | W183n9609 Appleton Ave, Germantown, WI 53022-4501 | 2008-09-08 |
| 1265603179 | Purfixsmile Dental | Dentist | 9245 Poplar Ave, Suite 8-161, Germantown, TN 38138-7931 | 2008-03-19 |
| 1679744189 | Curtis Lee Benesh | Dentist | 19330 Liberty Mill Rd, Germantown, MD 20874-1422 | 2008-03-13 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 53022 |
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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.