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).
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 |
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 |
Street Address |
10155 WASHINGTON AVE |
City | STURTEVANT |
State | WI |
Zip Code | 53177-1645 |
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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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 |
Find all providers in zip 53177 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
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 |
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 |
Find all providers with the same taxonomy |
City | STURTEVANT |
Zip Code | 53177 |
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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.