DR. MICHAEL BLAIR MELUGIN (NPI# 1407935794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407935794 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BLAIR MELUGIN |
| Credential | DDS MS |
| Practice Address |
20855 Watertown Rd Suite 240 Waukesha WI 53186 |
| Practice Telephone | 2627981421 |
| Practice Fax Number | 2627981494 |
| Mailing Telephone | 2627981421 |
| Mailing Fax Number | 2627981494 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4585 | WI | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4585 | WI | Dental Providers |
| Street Address |
20855 WATERTOWN RD SUITE 240 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962585281 | Dennis J Abere | Dentist | 20855 Watertown Rd, #120, Waukesha, WI 53186 | 2006-10-23 |
| 1861927535 | Vista Family Dentistry, LLC | Dentist | 20855 Watertown Rd, Suite 120, Waukesha, WI 53186-1860 | 2017-05-01 |
| 1770773897 | Dennis J Abere Dds Sc | Dentist | 20855 Watertown Rd, #120, Waukesha, WI 53186 | 2007-07-25 |
| 1558430868 | Pamela Rae Hanson | Dentist | 20855 Watertown Rd, Suite 240, Waukesha, WI 53186 | 2006-11-08 |
| 1811066137 | West New Brook Orthodontists | Dentist | 20855 Watertown Rd, Suite 240, Waukesha, WI 53186 | 2006-11-08 |
| 1063581841 | John J Pincsak | Dentist | 20855 Watertown Rd, Suite 240, Waukesha, WI 53186 | 2006-11-07 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285877654 | Shane Connor | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2009-04-14 |
| 1174733588 | Kevin James Connor | Dentist | 1111 Delafield Street, Suite 222, Waukesha, WI 53188-3403 | 2007-05-23 |
| 1720172992 | Oral Surgery Associates of Milwaukee Sc | Dentist | 20611 Watertown Rd, Waukesha, WI 53186-1871 | 2006-10-03 |
| 1225145998 | Thomas James Raspanti | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1912014697 | Joseph Mark Schmidt | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1881702439 | Joseph Adam Best | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1841307584 | Daniel Joseph D'angelo | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1235247834 | Oral and Maxillofacial Surgery Associates of Waukesha, Ltd. | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3403 | 2006-08-25 |
| 1194832824 | Timothy Stephen Novak | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1184732869 | Donald Paul Holzhauer | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 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.