DR. GARY L. STAFFORD (NPI# 1215082839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215082839 |
| Entity Type | Individual |
| Full Name | DR. GARY L. STAFFORD |
| Credential | DMD |
| Practice Address |
1801 W Wisconsin Ave Rm 336a Milwaukee WI 53233-2186 |
| Practice Telephone | 4142885409 |
| Mailing Telephone | 4142885409 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467558742 | Gary Duane Stafford | Dentist | 3037 Hopyard Rd, #i, Pleasanton, CA 94588-5255 | 2006-09-15 |
| 1871050476 | Gary Stafford | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-03-01 |
| 1376762468 | Gary Brian Stafford | Dentist | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2007-04-25 |
| 1245272400 | Gary Lee Stafford | Emergency Medicine | 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772-5673 | 2006-06-12 |
| Street Address |
1801 W WISCONSIN AVE RM 336A |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693099 | Brian David Hodgson | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2005-10-20 |
| 1114524493 | Jamie L Perugini | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-10-08 |
| 1063036143 | Manasa Rao | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-06-03 |
| 1265054332 | Mari Liestman | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-12 |
| 1790307965 | Vy Nguyen | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-11 |
| 1073135349 | Sara Jean Link | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-10 |
| 1588285696 | Hannah Lea Bonikowske | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-29 |
| 1932728425 | James Dentino | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-14 |
| 1396374070 | Alexander Vaun Padalino | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-05 |
| 1487283404 | Charles Allen Hauge | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1154794584 | Familia Dental River Glen LLC | Dentist | 142 E Capitol Dr, Milwaukee, WI 53212-1206 | 2015-11-06 |
| 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 |
| 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.