ALINE DUFRESNE (NPI# 1376980300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376980300 |
| Entity Type | Individual |
| Full Name | ALINE DUFRESNE |
| Credential | D.M.D |
| Practice Address |
10155 Washington Ave Sturtevant WI 53177-1645 |
| Mailing Address |
1635 N Water St Apt 507 Milwaukee WI 53202-2793 |
| Practice Telephone | 2626647743 |
| Practice Fax Number | 2626647799 |
| Mailing Telephone | 4104914454 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
15724 | MD | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1001422-15 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 097733100 | 05 |
| Street Address |
10155 WASHINGTON AVE |
| City | STURTEVANT |
| State | WI |
| Zip Code | 53177-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275507659 | Todd Edward Pienkos | Dentist | 10155 Washington Ave, Sturtevant, WI 53177-1645 | 2006-02-14 |
| 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 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558560185 | Geetha D Thirumala | Dentist | 10155 Washington Ave, Sturtevant, WI 53177-1645 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478454 | New Richmond Kidds Pediatric Dentistry LLC | Dentist | 1244 N 4th St Ste 300, New Richmond, WI 54017-7540 | 2020-08-21 |
| 1710509484 | Hospital Dentistry for Kids Inc. | Dentist | 4980 S County Rd T, Denmark, WI 54208 | 2020-05-15 |
| 1467808592 | Alexis Colosimo | Dentist | 11035 W Forest Home Ave Ste 116, Hales Corners, WI 53130-2541 | 2016-05-07 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1407257108 | The Kids Dentist LLC | Dentist | 10618 N Port Washington Rd, Mequon, WI 53092-5013 | 2014-09-12 |
| 1144631698 | Jennifer Sinnen | Dentist | 14430 W Greenfield Ave, Brookfield, WI 53005-7036 | 2014-05-17 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1255628491 | Ronald J Pruhs | Dentist | 4120 S Lake Dr, Apt. 251, Saint Francis, WI 53235-5954 | 2011-07-08 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 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.