DR. GREGORY ERIC CUSTER (NPI# 1891808887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891808887 |
| Entity Type | Individual |
| Full Name | DR. GREGORY ERIC CUSTER |
| Credential | DDS |
| Practice Address |
13615 N Cedarburg Road Mequon WI 53097 |
| Practice Telephone | 2623771071 |
| Practice Fax Number | 2623771018 |
| Mailing Telephone | 2623771071 |
| Mailing Fax Number | 2623771018 |
| Enumeration Date | 2006-08-16 |
| 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 |
5001876015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770568388 | Gregory Scott Custer | Counselor | 601 Addison Ave, Twin Falls, ID 83301-5204 | 2005-12-07 |
| 1043389976 | Gregory A Custer | Physician Assistant | 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 | 2006-11-07 |
| Street Address |
13615 N CEDARBURG ROAD |
| City | MEQUON |
| State | WI |
| Zip Code | 53097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| 1598089211 | Jessica Lynn Grimm | Physical Therapist | 12800 N Lake Shore Dr, Mequon, WI 53097 | 2010-03-24 |
| Find all providers in zip 53097 | ||||
| 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 |
|---|---|---|---|---|
| 1093193484 | Gargi Bhagavatula | Dentist | 6048 W Mequon Rd, Mequon, WI 53092-1938 | 2015-05-18 |
| 1477819068 | Mena Ghaly | Dentist | 11345 N Port Washington Rd, Mequon, WI 53092-3411 | 2012-04-08 |
| 1720292345 | Julie Anne Melbinger-wagner | Dentist | 10345 N Port Washington Rd Ste 150, Mequon, WI 53092-5746 | 2007-05-10 |
| 1912043266 | Robert Andrew Hafner | Dentist | 10562 N Port Washington Rd, Mequon, WI 53092-5537 | 2007-01-30 |
| 1093868523 | North Shore Dental Group S.c. | Dentist | 2601 W Mequon Rd, Mequon, WI 53092-3151 | 2007-01-19 |
| 1285781278 | Rachael A Vogel | Dentist | 10555 N Port Washington Rd, Ste 101, Mequon, WI 53092-5582 | 2007-01-04 |
| 1245321355 | Curtis J Jelinek | Dentist | 11415 N Bobolink Ln, Mequon, WI 53092-3006 | 2006-09-27 |
| 1407958093 | Richard Charles Johannes | Dentist | 10134 N Port Washington Rd, Mequon, WI 53092-5700 | 2006-09-02 |
| 1902893209 | David J. Brunner | Dentist | 10345 N Port Washington Rd, Suite 100, Mequon, WI 53092-5762 | 2005-10-02 |
| 1316947690 | Craig Lamont Smith | Dentist | 1345 W Towne Square Rd, Mequon, WI 53092-5047 | 2005-07-28 |
| Find all providers in MEQUON | ||||
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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.