BAYSHORE DENTAL SC (NPI# 1790399665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790399665 |
| Entity Type | Organization |
| Organization Name | BAYSHORE DENTAL SC |
| Practice Address |
400 E Silver Spring Dr Milwaukee WI 53217-5224 |
| Practice Telephone | 4143326010 |
| Practice Fax Number | 4143221850 |
| Mailing Telephone | 4143326010 |
| Mailing Fax Number | 4143221850 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | GAURI PATEL (OWNER) |
| Authorized Official Telephone | 4143326010 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
400 E SILVER SPRING DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53217-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942468848 | Gauri Goyal Patel | Dentist | 400 E Silver Spring Dr, Milwaukee, WI 53217-5224 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| 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 |
|---|---|---|---|---|
| 1932752862 | Edp of Wisconsin, PC | Dentist | 1825 N Martin Luther King Dr, Milwaukee, WI 53212-3673 | 2019-07-19 |
| 1245742733 | D2 Dental of Wisconsin, S.c. | Dentist | 1838 S 15th St, Milwaukee, WI 53204-3225 | 2017-10-25 |
| 1003337494 | Anne Katherine Press | Dentist | 5000 National Dr, Milwaukee, WI 53295-0001 | 2017-07-06 |
| 1942739610 | Scott Thomas Boyer | Dentist | 1017 S 2nd St Unit 305, Milwaukee, WI 53204-1885 | 2017-06-07 |
| 1477908648 | Reem Mahjoub | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2016-04-25 |
| 1215381009 | Katherine Lynn Pauly | Dentist | 270 E Highland Ave Apt 236, Milwaukee, WI 53202-6638 | 2016-04-18 |
| 1154794584 | Familia Dental River Glen LLC | Dentist | 142 E Capitol Dr, Milwaukee, WI 53212-1206 | 2015-11-06 |
| 1609259266 | Familia Dental Mkemitchell LLC | Dentist | 821 S Layton Blvd, Milwaukee, WI 53215-1225 | 2015-07-01 |
| 1174811640 | Juhi Yadava | Dentist | 710 W Mitchell St, Milwaukee, WI 53204-3556 | 2011-07-18 |
| 1730474511 | Gloria Lee | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2011-06-09 |
| 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.