MOBILE DENTAL CENTERS OF WISCONSIN INC (NPI# 1962618678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962618678 |
| Entity Type | Organization |
| Organization Name | MOBILE DENTAL CENTERS OF WISCONSIN INC |
| Other Organization Name | MOBILE DENTAL CENTERS |
| Practice Address |
20100 W Greenfield Ave Brookfield WI 53045 |
| Practice Telephone | 2627864776 |
| Practice Fax Number | 2627864841 |
| Mailing Telephone | 2627864776 |
| Mailing Fax Number | 2627864841 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS MCCARTHY (OWNER) |
| Authorized Official Telephone | 2627864776 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mobile Dental Centers | Doing Business As Name - Organization |
| Street Address |
20100 W GREENFIELD AVE |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265548325 | Thomas J Mccarthy | Dentist | 20100 W Greenfield Ave, Brookfield, WI 53045-3735 | 2006-08-22 |
| 1962686055 | Alan Shlimovitz | Dentist | 20100 W Greenfield Ave, C/o Mobile Dental Centers, Brookfield, WI 53045-3735 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649742370 | Brookfield Dental Center LLC | Clinic/Center | 17585 W North Ave Ste 210, Brookfield, WI 53045-4365 | 2018-12-19 |
| 1780601336 | Dr. Ralph A. Pamenter S.c. | Clinic/Center | 17535 W North Ave, Brookfield, WI 53045-4343 | 2006-07-17 |
| 1184263022 | Red Rose Dentistry | Clinic/Center | 12780 W North Ave Ste A, Brookfield, WI 53005-4601 | 2019-12-23 |
| 1528578580 | Sfm Dentistry LLC | Clinic/Center | 20350 Water Tower Blvd, Brookfield, WI 53045-3558 | 2017-10-04 |
| 1659829810 | Paul G. Culver Dds Sc | Clinic/Center | 17160 W North Ave, Suite 101, Brookfield, WI 53005-4437 | 2016-09-16 |
| 1306232376 | Prosthodontic Solutions LLC | Clinic/Center | 19990 W Greenfield Ave, Brookfield, WI 53045-3733 | 2015-04-07 |
| 1093153918 | Candlewood Family Dental LLC | Clinic/Center | 940 Federal Rd, Brookfield, CT 06804-1150 | 2013-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
| 1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
| 1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
| 1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
| 1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
| 1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
| 1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
| 1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
| 1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on MOBILE DENTAL CENTERS OF WISCONSIN INC.
| 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.