LAKESHORE FAMILY DENTAL CARE SC (NPI# 1215058532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215058532 |
| Entity Type | Organization |
| Organization Name | LAKESHORE FAMILY DENTAL CARE SC |
| Other Organization Name | EDWARD J OSHIRO DDS MARY J PANYK OSHIRO DDS |
| Practice Address |
3903 Douglas Ave Racine WI 53402 |
| Mailing Address |
Po Box 044290 Racine WI 53404 |
| Practice Telephone | 2626391272 |
| Mailing Telephone | 2626391272 |
| Mailing Fax Number | 2626398870 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD J OSHIRO (DENTIST) |
| Authorized Official Telephone | 2626391272 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3520 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EDS TITLE 19 | 33487600 | 01 |
| Other Name | Type Code |
|---|---|
| Edward J Oshiro DDS Mary J Panyk Oshiro DDS | Other Name - Individual/Organization |
| Street Address |
3903 DOUGLAS AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154580280 | Mary Panyk Oshiro | Dentist | 3903 Douglas Ave, Racine, WI 53402-3230 | 2008-06-04 |
| 1225297369 | Edward J Oshiro | Dentist | 3903 Douglas Ave, Racine, WI 53402-3230 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| 1821104795 | Romeo B Biboso | General Practice | 5401 Douglas Ave, Ste A, Racine, WI 53402 | 2006-08-22 |
| Find all providers in zip 53402 | ||||
| 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 |
|---|---|---|---|---|
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1306297288 | Basia M Kowalik | Dentist | 1076 Bedford Ct, Racine, WI 53406-7010 | 2016-06-22 |
| 1659713790 | Lisa Minkowski | Dentist | 5045 Nature Trl, Racine, WI 53403-4428 | 2013-07-17 |
| 1609184373 | Tnd Associates, Inc. | Dentist | 4915 Washington Ave, Suite B., Racine, WI 53406-4221 | 2010-09-15 |
| 1023244159 | Kimberly A Kind-bauer | Dentist | 4445 Taylor Ave, Racine, WI 53405-4642 | 2009-06-03 |
| 1467665935 | Tiffany Jeannine Smalkoski | Dentist | 4425 Taylor Avenue, Suite 3, Racine, WI 53405-4642 | 2007-05-08 |
| 1568675676 | Anthony John Budzinski | Dentist | 2510 Erie St, Racine, WI 53402-4414 | 2007-05-07 |
| 1962626051 | Richard Lee Anderson | Dentist | 3019 Washington Ave, Racine, WI 53405 | 2007-04-12 |
| 1982736583 | James Ebner Luetzow | Dentist | 6011 Durand Ave, Suite 200, Racine, WI 53406-5060 | 2007-03-09 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| Find all providers in RACINE | ||||
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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.