JAKE SON (NPI# 1235785361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235785361 |
| Entity Type | Individual |
| Full Name | JAKE SON |
| Credential | DMD |
| Practice Address |
5341 W Fond Du Lac Ave Milwaukee WI 53216-1365 |
| Mailing Address |
4032 Coventry Dr Auburn Hills MI 48326-1898 |
| Practice Telephone | 4148710827 |
| Mailing Telephone | 2487058840 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 100217915 | WI | Dental Providers |
| Street Address |
5341 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730474511 | Gloria Lee | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2011-06-09 |
| 1942812938 | Brent Ito | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2020-08-20 |
| 1871103135 | Kevin H Nguyen | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2020-08-03 |
| 1649888363 | Ashley Le Nguyen | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2020-07-20 |
| 1184152167 | Shameena Singh | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2017-06-02 |
| 1467801258 | Sunjoo Park | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2016-06-13 |
| 1982086955 | Familia Dental Mkemidtown LLC | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2015-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| 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.