DR. TODD EDWARD PIENKOS


Address: 10155 Washington Ave, Sturtevant, WI 53177-1645
Phone: 2628843011

DR. TODD EDWARD PIENKOS (NPI# 1275507659) 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) 1275507659
Entity Type Individual
Full Name DR. TODD EDWARD PIENKOS
Credential DDS
Practice Address 10155 Washington Ave
Sturtevant
WI 53177-1645
Practice Telephone 2628843011
Practice Fax Number 2626647799
Mailing Telephone 2628843011
Mailing Fax Number 2626647799
Enumeration Date 2006-02-14
Last Update Date 2017-05-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 019-024882 IL Dental Providers
Y 1223P0700X Dentist
Specialization: Prosthodontics
6396-15 WI Dental Providers
N 1223P0700X Dentist
Specialization: Prosthodontics
019-024882 IL Dental Providers

Office Location

Street Address 10155 WASHINGTON AVE
City STURTEVANT
State WI
Zip Code 53177-1645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811487234 Natalie Jo Stafford Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2018-05-10
1861945826 Anthony Lotesto Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2016-07-26
1376980300 Aline Dufresne Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2013-05-31
1447695036 Sahar A Karimuddin Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2013-05-08
1942472097 Thomas H Lim Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2008-03-28
1558560185 Geetha D Thirumala Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2007-07-13
1871705012 Sabrina G Philip Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2007-05-03
1770594244 Donald Craig Gundlach Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2006-08-10
1316978026 Kristin Lynn Osgood Kotlewski Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2006-07-05
1750319596 Jason A Kempinski Dentist 10155 Washington Ave, Sturtevant, WI 53177-1645 2006-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710170626 Lawrence Volkert Dentist 2753 Wisconsin Street, Sturtevant, WI 53177 2007-08-23
1023171279 Lucy Mcauley Physical Therapist 8700 Durand Ave, Suite D, Sturtevant, WI 53177 2006-12-19
1245585462 Amrinder Singh Family Medicine 10340 Washington Ave, Sturtevant, WI 53177 2012-07-14
1083748255 Sean P Sheerin Physical Therapy Assistant 8700 Durand Ave, Suite 100, Sturtevant, WI 53177 2007-03-16
1083748271 Paula J Hatch Occupational Therapist 8700 Durand Ave, Suite 100, Sturtevant, WI 53177 2007-03-16
1275520033 Robert Stephen Callaghan Psychiatry & Neurology 8700 Durand Ave Ste 600, Sturtevant, WI 53177 2005-10-05
1740518869 Arlene C Adams Physical Therapist 515 Deer Path, Sturtevant, WI 53177-1266 2009-12-01
1013548833 Ascension Wisconsin Surgery Center-mount Pleasant LLC Clinic/Center 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 2020-01-30
1184254336 Kristiana R Maggard Occupational Therapist 10180 Washington Ave # 107, Mount Pleasant, WI 53177-1604 2020-01-16
1851939037 Ascension Wisconsin Pharmacy, Inc Pharmacy 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 2019-12-18
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679132815 Wisconsin Oral Surgery LLC Dentist 10401 W Lincoln Ave Ste 101, West Allis, WI 53227-1255 2019-06-11
1871949107 Alicia Estrella Dentist 406 Science Dr Ste 402, Madison, WI 53711-1068 2016-05-05
1699159319 Charles Alan Kass Dentist 12720 W. North Avenue, Brookfield, WI 53005 2015-07-13
1194066167 Christman Dental, Ltd Dentist 425 W Prairie View Road, Chippewa Falls, WI 54729-3389 2013-03-15
1033482500 Rupal Suresh Vasani Dentist 2501 County Highway I, Chippewa Falls, WI 54729-1422 2012-02-14
1659654127 Eon Clinics Dentist 20700 Swenson Dr, Waukesha, WI 53186-0900 2011-09-21
1053641126 Jerry W Walker Dentist 6060 N Bay Ridge Ave, Milwaukee, WI 53217-4663 2010-01-12
1972742039 Dean W Crow Dentist 2314 N. Grandview Blvd, Suite 206, Waukesha, WI 53188-1675 2009-02-13
1912143439 David Joseph Kachelmeyer Dentist 1331 W Birch Ct, Milwaukee, WI 53209-5118 2009-01-06
1457531675 Todd Russell Krueger Dentist 8531 W Lincoln Ave, West Allis, WI 53227-2542 2007-11-05
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Competitor

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City STURTEVANT
Zip Code 53177

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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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