MARION FAMILY DENTAL CLINIC (NPI# 1487811188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487811188 |
| Entity Type | Organization |
| Organization Name | MARION FAMILY DENTAL CLINIC |
| Practice Address |
4302 N 76th Street Milwaukee WI 53222 |
| Mailing Address |
4302 N 7th Street Milwaukee WI 53222 |
| Practice Telephone | 4144629420 |
| Mailing Telephone | 4144629420 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | DR. THOMAS MCCARTHY (OWNER) |
| Authorized Official Telephone | 2627864819 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
4302 N 76TH STREET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
| 1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
| 1598040263 | Renita C Burrell, Dds, Ms, S.c. | Clinic/Center | 2457 N Mayfair Rd Ste 102, Milwaukee, WI 53226-1405 | 2011-10-13 |
| 1063622561 | Stanley I. Sehler D.d.s, S.c | Clinic/Center | 2300 N Mayfair Rd Ste 705, Milwaukee, WI 53226-1533 | 2007-05-23 |
| 1215074604 | American Dental Professional Services, LLC | Clinic/Center | 9054 N Deerbrook Trl, Milwaukee, WI 53223-2474 | 2007-02-01 |
| 1730184557 | Northridge Dental Center S.c. | Clinic/Center | 7906 N 76th St, Milwaukee, WI 53223-3916 | 2005-06-17 |
| 1437152493 | Burleigh Dental, Sc | Clinic/Center | 7623 W Burleigh St, Milwaukee, WI 53222-5001 | 2005-05-24 |
| 1467059865 | Wisconsin Smiles | Clinic/Center | 6719 W Capitol Dr, Milwaukee, WI 53216-2041 | 2020-10-08 |
| 1164047130 | Mequon Deer Dental, LLC | Clinic/Center | 7400 W Brown Deer Rd, Milwaukee, WI 53223-2078 | 2020-06-15 |
| 1184279028 | Lake Park Dental LLC | Clinic/Center | 2524 E Webster Pl Ste 201, Milwaukee, WI 53211-4257 | 2019-08-07 |
| Find all providers in MILWAUKEE | ||||
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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.