DR. PHILLIP LEE BANGLE (NPI# 1912163098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912163098 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP LEE BANGLE |
| Practice Address |
1425 Summit Ave Ste 200 Waukesha WI 53188-3200 |
| Practice Telephone | 2625421662 |
| Mailing Telephone | 2625421662 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2318 | WI | Dental Providers |
| Street Address |
1425 SUMMIT AVE STE 200 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 1881114569 | Amanda Lynn Castillo | Dentist | 2727 N Grandview Blvd Ste 200, Waukesha, WI 53188-1671 | 2017-06-22 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1154683696 | Alison Meudt | Dentist | 2320 E Moreland Blvd Ste A, Waukesha, WI 53186-2948 | 2012-06-11 |
| 1679860415 | Thomas Exner | Dentist | 2314 N Grandview Blvd Ste 203, Waukesha, WI 53188-1675 | 2011-06-30 |
| 1316236516 | Davies General Dentistry | Dentist | 2117 Corporate Dr Ste 200, Waukesha, WI 53189-7994 | 2011-03-29 |
| 1518128164 | Jeffrey D Grant | Dentist | 2428d N Grandview Blvd, Waukesha, WI 53188-6906 | 2008-06-17 |
| 1578683942 | Richard J. Salm Jr. | Dentist | S22w22660 East Broadway, Suite 2, Waukesha, WI 53186 | 2007-03-30 |
| 1093866238 | Donald Wade | Dentist | 1547 E Racine Ave, Waukesha, WI 53186-6826 | 2007-01-15 |
| 1235292517 | Arthur E Jahn Dds Sc | Dentist | 148 Wisconsin Avenue, Suite 102, Waukesha, WI 53186 | 2006-12-18 |
| 1063510030 | Thomas F Voelker Dds Sc | Dentist | 2340 W St Paul Avenue, Waukesha, WI 53188-5942 | 2006-09-21 |
| Find all providers in WAUKESHA | ||||
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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.