FAMILIA DENTAL RIVER GLEN LLC


Address: 142 E Capitol Dr, Milwaukee, WI 53212-1206
Phone: 8889884066

FAMILIA DENTAL RIVER GLEN LLC (NPI# 1154794584) 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) 1154794584
Entity Type Organization
Organization Name FAMILIA DENTAL RIVER GLEN LLC
Practice Address 142 E Capitol Dr
Milwaukee
WI 53212-1206
Mailing Address 2050 E Algonquin Rd
Suite 610
Schaumburg
IL 60173-4144
Practice Telephone 8889884066
Practice Fax Number 8474964850
Mailing Telephone 8889884066
Mailing Fax Number 8474964850
Enumeration Date 2015-11-06
Last Update Date 2015-11-06
Authorized Official Name IVONNE TELLEZ (ENROLLMENT TEAM LEAD)
Authorized Official Telephone 8889884066
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 142 E CAPITOL DR
City MILWAUKEE
State WI
Zip Code 53212-1206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033716006 Jasper Lu Dentist 142 E Capitol Dr, Milwaukee, WI 53212-1206 2020-10-02
1285249656 Christie A Wright Dentist 142 E Capitol Dr, Milwaukee, WI 53212-1206 2020-09-12
1659982916 Shuwei Wang Dentist 142 E Capitol Dr, Milwaukee, WI 53212-1206 2020-08-11
1194340612 Garima Sinha Dentist 142 E Capitol Dr, Milwaukee, WI 53212-1206 2020-06-10
1457912552 Reshma Shah Dentist 142 E Capitol Dr, Milwaukee, WI 53212-1206 2019-06-28
1053821413 Dhelni Tushar Bhatt Dentist 142 E Capitol Dr, Milwaukee, WI 53212-1206 2017-10-11
1336597863 Ishan Rangnekar Dentist 142 E Capitol Dr, Milwaukee, WI 53212-1206 2016-05-25

Providers in the same zip code

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 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
1932752862 Edp of Wisconsin, PC Dentist 1825 N Martin Luther King Dr, Milwaukee, WI 53212-3673 2019-07-19
1245742733 D2 Dental of Wisconsin, S.c. Dentist 1838 S 15th St, Milwaukee, WI 53204-3225 2017-10-25
1003337494 Anne Katherine Press Dentist 5000 National Dr, Milwaukee, WI 53295-0001 2017-07-06
1942739610 Scott Thomas Boyer Dentist 1017 S 2nd St Unit 305, Milwaukee, WI 53204-1885 2017-06-07
1477908648 Reem Mahjoub Dentist 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 2016-04-25
1215381009 Katherine Lynn Pauly Dentist 270 E Highland Ave Apt 236, Milwaukee, WI 53202-6638 2016-04-18
1609259266 Familia Dental Mkemitchell LLC Dentist 821 S Layton Blvd, Milwaukee, WI 53215-1225 2015-07-01
1174811640 Juhi Yadava Dentist 710 W Mitchell St, Milwaukee, WI 53204-3556 2011-07-18
1730474511 Gloria Lee Dentist 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 2011-06-09
1578856225 Parkway Dental, S.c. Dentist 2901 W Kinnickinnic River Pkwy Ste 104, Milwaukee, WI 53215-3660 2011-05-26
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53212

Improve Information

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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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