JEFFREY M OBRIEN (NPI# 1225258254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225258254 |
Entity Type | Individual |
Full Name | JEFFREY M OBRIEN |
Credential | DDS |
Practice Address |
W247 S3114 Prairie Avenue Waukesha WI 53189 |
Practice Telephone | 2625444404 |
Practice Fax Number | 2625444399 |
Mailing Telephone | 2625444404 |
Mailing Fax Number | 2625444399 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 5057 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | LICENSE | 5057 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508317330 | Jeffrey Obrien | Nurse Practitioner | 17 Lansing St, Auburn, NY 13021-1983 | 2016-10-17 |
Street Address |
W247 S3114 PRAIRIE AVENUE |
City | WAUKESHA |
State | WI |
Zip Code | 53189 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619986189 | Robert John Waite Jr. | Dentist | W247 S3114 Prairie Avenue, Waukesha, WI 53189 | 2006-08-05 |
1336369362 | Stephanie A Race | Dentist | W247 S3114 Prairie Avenue, Waukesha, WI 53189 | 2007-05-01 |
1760602791 | Dennis M Obrien | Dentist | W247 S3114 Prairie Avenue, Waukesha, WI 53189 | 2007-05-01 |
1780804716 | Sunst Dental Care Sc | Dentist | W247 S3114 Prairie Avenue, Waukesha, WI 53189 | 2007-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
Find all providers in zip 53189 |
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 |
1912163098 | Phillip Lee Bangle | Dentist | 1425 Summit Ave Ste 200, Waukesha, WI 53188-3200 | 2008-07-29 |
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 |
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.