CUDAHY DENTAL ASSOCIATES, S.C. (NPI# 1164496477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164496477 |
| Entity Type | Organization |
| Organization Name | CUDAHY DENTAL ASSOCIATES, S.C. |
| Practice Address |
6217 S Packard Ave Cudahy WI 53110-3096 |
| Practice Telephone | 4147645550 |
| Practice Fax Number | 4147648175 |
| Mailing Telephone | 4147645550 |
| Mailing Fax Number | 4147648175 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DENNIS M TOY (PRESIDENT) |
| Authorized Official Telephone | 4147645550 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
6217 S PACKARD AVE |
| City | CUDAHY |
| State | WI |
| Zip Code | 53110-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912565227 | David Lubin | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2019-06-01 |
| 1043786601 | Karen Wang | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2018-10-22 |
| 1861847097 | Kimberly Carmichael | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2016-04-25 |
| 1760820567 | Susan Angel Meinerz | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2013-06-13 |
| 1649618497 | Michael Louis Jumes | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2013-06-13 |
| 1164717732 | Frank A Caputo | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3089 | 2011-06-12 |
| 1003136953 | Anne M Allmann | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3089 | 2010-06-02 |
| 1184754459 | Wisconsin Dental Group, S.c. | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2007-03-06 |
| 1578537643 | Michael J Ketten | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2006-02-15 |
| 1275507345 | John S Grant | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2006-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1497191357 | Kristel Roebbeke | Occupational Therapist | 4157 W College Ave, Milwaukee, WI 53110 | 2013-05-20 |
| 1568684058 | City of Cudahy | Case Management | 5050 South Lake Drive, Cudahy, WI 53110 | 2007-05-03 |
| 1104854363 | Mathew George Mathai | Internal Medicine | 5900 S. Lake Dr., Cudahy, WI 53110 | 2006-06-28 |
| 1174917199 | Alyssa Kaleta | Internal Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2015-03-27 |
| 1740546829 | Fatima Ali | Family Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2012-04-03 |
| 1609003508 | Elizabeth A Vissat | Podiatrist | 5900 S Lake Dr, 2 West, Cudahy, WI 53110 | 2009-06-18 |
| 1366616864 | Miguel A Aguilera | Anesthesiology | 5900 S Lake Dr, Cudahy, WI 53110 | 2008-04-15 |
| 1235355983 | Aurora Health Care Metro, Inc. | Clinic/Center | 5900 S Lake Drive, Cudahy, WI 53110 | 2007-04-18 |
| 1114005618 | Manila Sodhi | Internal Medicine | 5900 S Lake Dr, 2 West, Cudahy, WI 53110 | 2006-11-01 |
| Find all providers in zip 53110 | ||||
| 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 |
|---|---|---|---|---|
| 1912404708 | Zoe Kiklis | Dentist | 7903 Atlantic Ave Ste G, Cudahy, CA 90201 | 2018-04-09 |
| 1215298757 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 7903 Atlantic Ave, Suite G, Cudahy, CA 90201-5926 | 2012-05-31 |
| 1154524692 | Kids Dental Kare | Dentist | 7705 Atlantic Ave, B, Cudahy, CA 90201-5085 | 2007-06-11 |
| 1164552402 | Tushar P Doshi | Dentist | 7250 Atlantic Ave, Cudahy, CA 90201-4303 | 2007-03-06 |
| 1407983653 | Michael Richard Shimeta | Dentist | 5820 S Packard Ave, Cudahy, WI 53110-2616 | 2007-02-27 |
| 1265576854 | Dieu T Phan | Dentist | 7607 Atlantic Ave, Cudahy, CA 90201-5019 | 2007-02-16 |
| 1427191923 | Ladan Zinati | Dentist | 7607-9 Atlantic Ave., Cudahy, CA 90201 | 2007-02-14 |
| 1972676740 | Ginette O Zumaeta | Dentist | 4566 E. Florence Ave, Suite 8, Cudahy, CA 90201 | 2006-11-17 |
| 1912565227 | David Lubin | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2019-06-01 |
| 1043786601 | Karen Wang | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2018-10-22 |
| Find all providers in CUDAHY | ||||
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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.