DR. SUSAN BERNADETTE KENNEDY (NPI# 1235669417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235669417 |
| Entity Type | Individual |
| Full Name | DR. SUSAN BERNADETTE KENNEDY |
| Credential | DMD |
| Practice Address |
1211 Dolphin Ct Waukesha WI 53186-1488 |
| Mailing Address |
1925 N 122nd St Wauwatosa WI 53226-2019 |
| Practice Telephone | 2624363363 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 100583-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982257150 | Susan Kennedy | Chiropractor | 1220 W Ogden Ave Ste D, Naperville, IL 60563-3977 | 2019-07-17 |
| 1659858686 | Susan Emily Kennedy | Behavioral Analyst | 304 E Pine St # 19, Lakeland, FL 33801-4969 | 2018-07-23 |
| 1588054902 | Susan Kennedy | Occupational Therapist | 3069 S Steele St, Denver, CO 80210-6949 | 2015-01-24 |
| 1871875716 | Susan Dana Kennedy | Contractor | 2 Wild Iris Way, Greensboro, NC 27410-4169 | 2011-09-16 |
| 1356586853 | Susan Marie Kennedy | Family Medicine | 1185 S Leopard Rd, Berwyn, PA 19312-2028 | 2008-12-11 |
| 1588738728 | Susan Lynne Kennedy | Speech-Language Pathologist | 1820 S Harris Dr, Mesa, AZ 85204-6710 | 2006-11-20 |
| 1356358717 | Susan Kennedy | Social Worker | 2420 Isabella St, Evanston, IL 60201-1406 | 2006-08-01 |
| 1881224251 | Susan Marlene Kennedy | Case Manager/Care Coordinator | 728 Ne 7th St, Trenton, FL 32693-3637 | 2020-01-24 |
| 1093290306 | Susan Marie Kennedy | Counselor | 950 S Oyster Bay Rd, Hicksville, NY 11801-3511 | 2018-10-02 |
| 1720205875 | Susan Lynn Kennedy | Speech-Language Pathologist | 940 N Tyler Rd, Suite #101, Wichita, KS 67212 | 2007-04-19 |
| Street Address |
1211 DOLPHIN CT |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-1488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093955254 | Megan Sarah Desroches | Dentist | 1211 Dolphin Ct, Waukesha, WI 53186 | 2009-03-01 |
| 1942800875 | Austin Colovich | Dentist | 1211 Dolphin Ct, Waukesha, WI 53186-1488 | 2020-10-29 |
| 1154985661 | Dimitri Chironis | Dentist | 1211 Dolphin Ct, Waukesha, WI 53186-1488 | 2019-04-30 |
| 1609301027 | Sami Kawas | Dentist | 1211 Dolphin Ct, Waukesha, WI 53186 | 2017-04-24 |
| 1467806034 | Ross David Toigo | Dentist | 1211 Dolphin Ct, Waukesha, WI 53186-1488 | 2016-04-19 |
| 1457616385 | Hyun Sik Oh | Dentist | 1211 Dolphin Ct, Waukesha, WI 53186-1488 | 2012-07-06 |
| 1194969378 | Nas Sediqi | Dentist | 1211 Dolphin Ct, Waukesha, WI 53186-1488 | 2009-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881114569 | Amanda Lynn Castillo | Dentist | 2727 N Grandview Blvd Ste 200, Waukesha, WI 53188-1671 | 2017-06-22 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1154683696 | Alison Meudt | Dentist | 2320 E Moreland Blvd Ste A, Waukesha, WI 53186-2948 | 2012-06-11 |
| 1679860415 | Thomas Exner | Dentist | 2314 N Grandview Blvd Ste 203, Waukesha, WI 53188-1675 | 2011-06-30 |
| 1316236516 | Davies General Dentistry | Dentist | 2117 Corporate Dr Ste 200, Waukesha, WI 53189-7994 | 2011-03-29 |
| 1912163098 | Phillip Lee Bangle | Dentist | 1425 Summit Ave Ste 200, Waukesha, WI 53188-3200 | 2008-07-29 |
| 1518128164 | Jeffrey D Grant | Dentist | 2428d N Grandview Blvd, Waukesha, WI 53188-6906 | 2008-06-17 |
| 1578683942 | Richard J. Salm Jr. | Dentist | S22w22660 East Broadway, Suite 2, Waukesha, WI 53186 | 2007-03-30 |
| 1093866238 | Donald Wade | Dentist | 1547 E Racine Ave, Waukesha, WI 53186-6826 | 2007-01-15 |
| 1235292517 | Arthur E Jahn Dds Sc | Dentist | 148 Wisconsin Avenue, Suite 102, Waukesha, WI 53186 | 2006-12-18 |
| Find all providers in WAUKESHA | ||||
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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.