DR. GEOFFREY L. MYKLEBY


Address: 8700 W Watertown Plank Rd Ste 11, Wauwatosa, WI 53226-3595
Phone: 4144530445

DR. GEOFFREY L. MYKLEBY (NPI# 1518011485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518011485
Entity Type Individual
Full Name DR. GEOFFREY L. MYKLEBY
Credential DENTISTRY
Practice Address 8700 W Watertown Plank Rd Ste 11
Wauwatosa
WI 53226-3595
Mailing Address 8700 W Watertown Plank Rd
Suite 11
Milwaukee
WI 53226-3595
Practice Telephone 4144530445
Practice Fax Number 4144531589
Mailing Telephone 4144530445
Mailing Fax Number 4144531589
Enumeration Date 2007-01-22
Last Update Date 2016-03-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2409 WI Dental Providers

Office Location

Street Address 8700 W WATERTOWN PLANK RD STE 11
City WAUWATOSA
State WI
Zip Code 53226-3595

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NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
Find all providers in zip 53226

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588131163 Shiloh Joshua Golden Dentist 10625 W North Ave Ste 320, Wauwatosa, WI 53226-2315 2018-10-31
1699205336 Patrick T Clancy Dentist 11904 W North Ave Ste 105, Wauwatosa, WI 53226-2062 2017-06-15
1396190476 Katharine Nelson Suwalski Dentist 7626 Warren Ave, Wauwatosa, WI 53213-2258 2016-04-26
1538360086 Leonard R. Machi Dentist 12217 W North Ave, Wauwatosa, WI 53226-2056 2007-05-31
1073725586 John R Wussow Dentist 10225 W. Capitol Dr, Wauwatosa, WI 53222 2007-05-04
1508084245 John L Scheels Dentist 6803 W Wells St, Wauwatosa, WI 53213-3811 2007-04-20
1447375431 Timothy Richard Kirkpatrick Dentist 11040 W Bluemound Rd, Suite 201, Wauwatosa, WI 53226 2007-03-20
1316004864 Robin Ann Gorman Dentist 6101 W Vliet St, Suite 101, Wauwatosa, WI 53213-2485 2007-01-03
1376608257 Tom Tongas Dentist 2380 N 124th St, Wauwatosa, WI 53226-1071 2006-12-22
1679631550 David G Lloyd Dentist 10425 W North Ave Ste 236, Wauwatosa, WI 53226-2416 2006-12-05
Find all providers in WAUWATOSA

Competitor

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City WAUWATOSA
Zip Code 53226

Improve Information

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Dataset Information

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.

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