DR. WILLIAM A COVELLI (NPI# 1669509972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669509972 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM A COVELLI |
| Credential | DDS |
| Practice Address |
1317 West Grand Avenue Port Washington WI 53074 |
| Practice Telephone | 2622845884 |
| Practice Fax Number | 2622841840 |
| Mailing Telephone | 2622845884 |
| Mailing Fax Number | 2622841840 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
W10738G | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33589200 | 05 |
| Street Address |
1317 WEST GRAND AVENUE |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| 1588198857 | Stephanie Cooper | Speech-Language Pathologist | 1119 N Wisconsin St, Port Washington, WI 53074 | 2017-04-13 |
| Find all providers in zip 53074 | ||||
| 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 |
|---|---|---|---|---|
| 1629294301 | Matthew Richard Neiman | Dentist | 8 Haven Ave, Suite 225, Port Washington, NY 11050-3636 | 2007-04-18 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1912062431 | Peter Mychajliw | Dentist | 3 Richards Rd, Port Washington, NY 11050-3824 | 2006-12-26 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1306950902 | Celestino F Perez | Dentist | 1000 N Wisconsin St, Port Washington, WI 53074-1285 | 2006-08-19 |
| 1023040730 | Barrett Duane Straub | Dentist | 1349 W Grand Ave, Port Washington, WI 53074-2043 | 2006-07-06 |
| 1629517891 | Gold Coast Family Dental | Dentist | 2 Cow Neck Rd, Port Washington, NY 11050-1712 | 2017-02-21 |
| 1407176464 | Eric Lazar | Dentist | 30 S Bayles Ave, Port Washington, NY 11050-3754 | 2010-06-01 |
| 1881918712 | Port Washington Dental Care PC | Dentist | 18 Haven Ave, Suite 200, Port Washington, NY 11050-3643 | 2010-03-22 |
| 1942452305 | Catherine Marino Carrozzo | Dentist | 14 Maple St, Port Washington, NY 11050-2946 | 2008-10-16 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
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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.