DR. MEGAN GRAHAM (NPI# 1174751523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174751523 |
| Entity Type | Individual |
| Full Name | DR. MEGAN GRAHAM |
| Credential | DDS |
| Practice Address |
2524 E Webster Pl Ste 201 Milwaukee WI 53211-4257 |
| Practice Telephone | 4149639440 |
| Mailing Telephone | 4149639440 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6373-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083265441 | Megan M Graham | Occupational Therapist | 794 Lagrange Rd, New Castle, KY 40050-6745 | 2019-09-26 |
| 1932677119 | Megan Graham | Physical Therapist | 6701 Fannin St Ste 1710.00, Houston, TX 77030-2608 | 2018-11-06 |
| 1750814653 | Megan R Graham | Specialist/Technologist | 1233 N Mesa Dr, 1170, Mesa, AZ 85201-2754 | 2017-04-06 |
| 1275962789 | Megan Elizabeth Graham | Social Worker | 7007 Waterfront Ln, Blacklick, OH 43004-8592 | 2013-11-05 |
| 1578806998 | Megan Graham | Behavioral Analyst | 1027 Park Ln, Piedmont, CA 94610-1124 | 2013-04-03 |
| 1649506767 | Megan Graham | Counselor | 4 Cowing St, Apt. 2, West Roxbury, MA 02132-3600 | 2009-10-23 |
| 1033757380 | Megan Graham | Behavior Technician | 1730 E Holly Ave, El Segundo, CA 90245-4404 | 2019-12-17 |
| 1255976759 | Megan Graham | Counselor | 3911 Hollywood Blvd Ste 201, Hollywood, FL 33021-6795 | 2019-11-08 |
| 1700447778 | Megan Sierra Graham | Obstetrics & Gynecology | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2019-06-21 |
| 1629522586 | Megan Graham | Physical Therapist | 12108 Saint Charles Rock Rd, 110, Bridgeton, MO 63044-2601 | 2016-08-09 |
| Street Address |
2524 E WEBSTER PL STE 201 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678749 | Bethany Lyn Gallistel | Dental Hygienist | 2524 E Webster Pl Ste 201, Milwaukee, WI 53211-4257 | 2020-01-24 |
| 1184279028 | Lake Park Dental LLC | Clinic/Center | 2524 E Webster Pl Ste 201, Milwaukee, WI 53211-4257 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| 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 |
|---|---|---|---|---|
| 1053962654 | Flavio De Alcantara Camejo | Dentist | 1801 W Wisconsin Ave Rm S221, Milwaukee, WI 53233-2186 | 2019-09-25 |
| 1083276893 | Michelle Wanserski | Dentist | 3460 N Humboldt Blvd, Milwaukee, WI 53212-1702 | 2019-07-01 |
| 1720548787 | Jared Holloway | Dentist | 1801 W Wisconsin Ave Rm 243, Milwaukee, WI 53233-2186 | 2019-03-24 |
| 1245796796 | Amelia Anne Leuer | Dentist | 9000 W Wisconsin Ave Ste 310, Milwaukee, WI 53226-4874 | 2019-02-20 |
| 1710464904 | Ashley Lazar | Dentist | 9200 W Wisconsin, Cfac 5th Floor, Milwaukee, WI 53226 | 2018-07-20 |
| 1073005476 | Habib Ali Rahemtulla | Dentist | 7635 W Bluemound Rd Ste 208, Milwaukee, WI 53213-3500 | 2018-05-31 |
| 1376069690 | Fiona Kwok | Dentist | 4144 N 104th St, Milwaukee, WI 53222-1205 | 2017-08-17 |
| 1104346212 | Igor Sorin | Dentist | 132 N Jefferson St Apt 450, Milwaukee, WI 53202-6152 | 2017-06-21 |
| 1962938605 | Aaron C Seubert | Dentist | 925 E Wells St, Apt. 222, Milwaukee, WI 53202-3900 | 2017-05-01 |
| 1174975007 | Scott Macdonald | Dentist | 3218 N Summit Ave, Milwaukee, WI 53211-3151 | 2016-07-03 |
| Find all providers in MILWAUKEE | ||||
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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.