DR. AGNIESZKA DOMAGALA (NPI# 1548410491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548410491 |
| Entity Type | Individual |
| Full Name | DR. AGNIESZKA DOMAGALA |
| Credential | D.D.S. |
| Practice Address |
1801 W. Wisconsin Ave. Marquette University School of Dentistry/aegd Milwaukee WI 53233 |
| Mailing Address |
14257 Waterford Square Dr New Berlin WI 53151-9509 |
| Practice Telephone | 4142887388 |
| Mailing Telephone | 7086559724 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019027819 | IL | Dental Providers |
| Street Address |
1801 W. WISCONSIN AVE. MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY/AEGD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962654 | Flavio De Alcantara Camejo | Dentist | 1801 W Wisconsin Ave Rm S221, Milwaukee, WI 53233-2186 | 2019-09-25 |
| 1083276893 | Michelle Wanserski | Dentist | 3460 N Humboldt Blvd, Milwaukee, WI 53212-1702 | 2019-07-01 |
| 1720548787 | Jared Holloway | Dentist | 1801 W Wisconsin Ave Rm 243, Milwaukee, WI 53233-2186 | 2019-03-24 |
| 1245796796 | Amelia Anne Leuer | Dentist | 9000 W Wisconsin Ave Ste 310, Milwaukee, WI 53226-4874 | 2019-02-20 |
| 1710464904 | Ashley Lazar | Dentist | 9200 W Wisconsin, Cfac 5th Floor, Milwaukee, WI 53226 | 2018-07-20 |
| 1073005476 | Habib Ali Rahemtulla | Dentist | 7635 W Bluemound Rd Ste 208, Milwaukee, WI 53213-3500 | 2018-05-31 |
| 1376069690 | Fiona Kwok | Dentist | 4144 N 104th St, Milwaukee, WI 53222-1205 | 2017-08-17 |
| 1104346212 | Igor Sorin | Dentist | 132 N Jefferson St Apt 450, Milwaukee, WI 53202-6152 | 2017-06-21 |
| 1962938605 | Aaron C Seubert | Dentist | 925 E Wells St, Apt. 222, Milwaukee, WI 53202-3900 | 2017-05-01 |
| 1174975007 | Scott Macdonald | Dentist | 3218 N Summit Ave, Milwaukee, WI 53211-3151 | 2016-07-03 |
| 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.