BRIAN R TECLAW (NPI# 1417119710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417119710 |
| Entity Type | Individual |
| Full Name | BRIAN R TECLAW |
| Credential | D.D.S. |
| Practice Address |
2301 S 108th St West Allis WI 53227-1901 |
| Practice Telephone | 4143212320 |
| Practice Fax Number | 4143212766 |
| Mailing Telephone | 4143212320 |
| Mailing Fax Number | 4143212766 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3325 | WI | Dental Providers |
| Street Address |
2301 S 108TH ST |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679710883 | P.s.sidhu & Associates | Dentist | 1417 S 108th St, West Allis, WI 53214-4012 | 2009-01-09 |
| 1649434630 | William Wong | Dentist | 1947 S 60th St, West Allis, WI 53219-1552 | 2008-07-18 |
| 1003093154 | Michael A. Schwab, D.d.s., S.c. | Dentist | 10401 W Lincoln Ave Ste 205, West Allis, WI 53227-1255 | 2008-01-30 |
| 1134312242 | Doctors' Denture Systems Sc | Dentist | 7500 W Lincoln Ave, West Allis, WI 53219-1828 | 2007-08-22 |
| 1750507356 | Roberto Edgardo Monteagudo | Dentist | 1469 S 70th St, West Allis, WI 53214-4814 | 2007-04-18 |
| 1235354481 | Dennis R Anderson Dds Sc | Dentist | 10701 W Lincoln Ave, West Allis, WI 53227-1242 | 2007-04-14 |
| 1679603484 | Carl Joseph Sibilski Jr. | Dentist | 7234 W Lincoln Ave, West Allis, WI 53219-1819 | 2007-03-07 |
| 1134255672 | Nicholas Roy Russo | Dentist | 6754 W Beloit Rd, West Allis, WI 53219-2068 | 2007-02-27 |
| 1649314782 | Richard John Schabowski | Dentist | 5400 W Lincoln Ave, West Allis, WI 53219-1662 | 2007-02-19 |
| 1194862763 | Paul Chester Mroczkowski | Dentist | 3044 S 92nd St, West Allis, WI 53227-3678 | 2007-01-31 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
Please comment or provide details below to improve the information on BRIAN R TECLAW.
| 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.