DR. KATHERINE DRAKE DEFFKE


Address: 6217 S Packard Ave, Cudahy, WI 53110-3096
Phone: 4147645550

DR. KATHERINE DRAKE DEFFKE (NPI# 1265406524) 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) 1265406524
Entity Type Individual
Full Name DR. KATHERINE DRAKE DEFFKE
Credential D.D.S.
Practice Address 6217 S Packard Ave
Cudahy
WI 53110-3096
Practice Telephone 4147645550
Practice Fax Number 4147648175
Mailing Telephone 4147645550
Mailing Fax Number 4147648175
Enumeration Date 2006-02-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
5485 WI Dental Providers

Office Location

Street Address 6217 S PACKARD AVE
City CUDAHY
State WI
Zip Code 53110-3096

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164496477 Cudahy Dental Associates, S.c. Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2006-02-14
1912565227 David Lubin Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2019-06-01
1043786601 Karen Wang Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2018-10-22
1861847097 Kimberly Carmichael Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2016-04-25
1760820567 Susan Angel Meinerz Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2013-06-13
1649618497 Michael Louis Jumes Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2013-06-13
1164717732 Frank A Caputo Dentist 6217 S Packard Ave, Cudahy, WI 53110-3089 2011-06-12
1003136953 Anne M Allmann Dentist 6217 S Packard Ave, Cudahy, WI 53110-3089 2010-06-02
1184754459 Wisconsin Dental Group, S.c. Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2007-03-06
1578537643 Michael J Ketten Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2006-02-15
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Providers in the same zip code

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1164059150 Access Mobility Vans, Inc. Durable Medical Equipment & Medical Supplies 1995 E. Norse Ave., Cudahy, WI 53110 2020-03-27
1497191357 Kristel Roebbeke Occupational Therapist 4157 W College Ave, Milwaukee, WI 53110 2013-05-20
1568684058 City of Cudahy Case Management 5050 South Lake Drive, Cudahy, WI 53110 2007-05-03
1104854363 Mathew George Mathai Internal Medicine 5900 S. Lake Dr., Cudahy, WI 53110 2006-06-28
1174917199 Alyssa Kaleta Internal Medicine 5900 S Lake Dr, Cudahy, WI 53110 2015-03-27
1740546829 Fatima Ali Family Medicine 5900 S Lake Dr, Cudahy, WI 53110 2012-04-03
1609003508 Elizabeth A Vissat Podiatrist 5900 S Lake Dr, 2 West, Cudahy, WI 53110 2009-06-18
1366616864 Miguel A Aguilera Anesthesiology 5900 S Lake Dr, Cudahy, WI 53110 2008-04-15
1235355983 Aurora Health Care Metro, Inc. Clinic/Center 5900 S Lake Drive, Cudahy, WI 53110 2007-04-18
1114005618 Manila Sodhi Internal Medicine 5900 S Lake Dr, 2 West, Cudahy, WI 53110 2006-11-01
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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
1912404708 Zoe Kiklis Dentist 7903 Atlantic Ave Ste G, Cudahy, CA 90201 2018-04-09
1215298757 Cherag Dinshaw Sarkari Dds A Dental Corporation Dentist 7903 Atlantic Ave, Suite G, Cudahy, CA 90201-5926 2012-05-31
1154524692 Kids Dental Kare Dentist 7705 Atlantic Ave, B, Cudahy, CA 90201-5085 2007-06-11
1164552402 Tushar P Doshi Dentist 7250 Atlantic Ave, Cudahy, CA 90201-4303 2007-03-06
1407983653 Michael Richard Shimeta Dentist 5820 S Packard Ave, Cudahy, WI 53110-2616 2007-02-27
1265576854 Dieu T Phan Dentist 7607 Atlantic Ave, Cudahy, CA 90201-5019 2007-02-16
1427191923 Ladan Zinati Dentist 7607-9 Atlantic Ave., Cudahy, CA 90201 2007-02-14
1972676740 Ginette O Zumaeta Dentist 4566 E. Florence Ave, Suite 8, Cudahy, CA 90201 2006-11-17
1164496477 Cudahy Dental Associates, S.c. Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2006-02-14
1912565227 David Lubin Dentist 6217 S Packard Ave, Cudahy, WI 53110-3096 2019-06-01
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Competitor

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City CUDAHY
Zip Code 53110

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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