DR. ANDREW DENTINO (NPI# 1871693747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871693747 |
| Entity Type | Individual |
| Full Name | DR. ANDREW DENTINO |
| Credential | DDS, PHD |
| Practice Address |
555 S 108th St West Allis WI 53214-1100 |
| Practice Telephone | 4145666400 |
| Practice Fax Number | 4145663900 |
| Mailing Telephone | 4145666400 |
| Mailing Fax Number | 4145663900 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4463-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739126 | Andrew N Dentino | Internal Medicine | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2005-06-09 |
| Street Address |
555 S 108TH ST |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666465 | Beth Anne Maki | Nurse Practitioner | 555 S 108th St, West Allis, WI 53214-1100 | 2005-08-11 |
| 1174089130 | Quad/med, LLC | Clinic/Center | 555 S 108th St, West Allis, WI 53214-1145 | 2019-02-14 |
| 1023488731 | Quad/med, LLC | Clinic/Center | 555 S 108th St, West Allis, WI 53214-1100 | 2015-10-07 |
| 1952609299 | Kajal Chirag Malkan | Physician Assistant | 555 S 108th St, West Allis, WI 53214-1100 | 2011-03-10 |
| 1265698187 | Sara C Falter | Optometrist | 555 S 108th St, West Allis, WI 53214-1145 | 2008-07-30 |
| 1982873865 | Melissa Fish | Specialist/Technologist | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-26 |
| 1831368646 | Pat A Buck | Dietitian, Registered | 555 S 108th St, West Allis, WI 53214 | 2008-02-26 |
| 1932378999 | Laurie A Lacoursiere | Dietitian, Registered | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-25 |
| 1417126335 | Michelle Szivecz | Physical Therapist | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-25 |
| 1255500179 | Pamela Goodreau | Specialist/Technologist | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760684930 | Jeffrey Joseph Burke | Dentist | 2323 S 109th St Ste 275, West Allis, WI 53227-1912 | 2007-06-01 |
| 1295930634 | American Dental Specialty Institute, Sc | Dentist | 2323 S 109th St, Suite 275, West Allis, WI 53227-1909 | 2007-06-17 |
| 1336279975 | Wisconsin Dental Group, S.c. | Dentist | 8801 W National Ave, West Allis, WI 53227-1635 | 2007-03-06 |
| 1801907886 | Ahmad Eslami | Dentist | 2323 S 109th St, Suite # 275, West Allis, WI 53227-1909 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683830 | Phillip Crum | Dentist | 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 | 2016-08-11 |
| 1285937557 | Craig William Byers | Dentist | 2457 North Mayfair Road, Suite 102, Wauwatosa, WI 53226-1405 | 2010-12-08 |
| 1558662387 | Jason William Cooke | Dentist | 2557b E Calumet St, Appleton, WI 54915-4748 | 2010-11-10 |
| 1780998997 | Thomas C. Kelley Dds Msd LLC | Dentist | 17280 W North Ave Ste 203, Brookfield, WI 53045-4366 | 2010-07-29 |
| 1376789933 | Shoreline Periodontics Limited | Dentist | 2808 Kohler Memorial Dr, Suite 2, Sheboygan, WI 53081-3177 | 2008-12-31 |
| 1003052895 | James P. Herman | Dentist | 5624 S Bonnie Ln, Hales Corners, WI 53130-1674 | 2008-12-28 |
| 1992915276 | Scott George Metskas | Dentist | 3364 Iris Ln, Stevens Point, WI 54481-5618 | 2007-05-23 |
| 1134339500 | Fox River Periodontics Sc | Dentist | 2557b East Calumet St, Appleton, WI 54915 | 2007-05-23 |
| 1891903043 | Denise Y Shih | Dentist | 2853 N Marietta Ave, Milwaukee, WI 53211-3420 | 2007-05-20 |
| 1629280987 | Nancy Ellen Shumate | Dentist | 2600 N Mayfair Rd Ste 340, Wauwatosa, WI 53226-1372 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
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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.