JEFFREY O'BRIEN, D.D.S., S.C. (NPI# 1245578665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245578665 |
| Entity Type | Organization |
| Organization Name | JEFFREY O'BRIEN, D.D.S., S.C. |
| Practice Address |
W247s3114 Prairie Ave Waukesha WI 53189-7321 |
| Practice Telephone | 2625444404 |
| Practice Fax Number | 2625444399 |
| Mailing Telephone | 2625444404 |
| Mailing Fax Number | 2625444399 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | DR. JEFFREY M O'BRIEN (DENTIST) |
| Authorized Official Telephone | 2625444404 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
W247S3114 PRAIRIE AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189-7321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235212887 | Sunset Dental Care Sc | Dentist | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2006-10-24 |
| 1417295163 | Stephanie Race D.d.s., S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-30 |
| 1841538139 | Sunset Dental Care, S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-22 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063634228 | Renner and Martin Dds Sc | Clinic/Center | 1111 Delafield St. #319, Waukesha, WI 53188-3407 | 2007-05-03 |
| 1801400338 | Tanty Family Dental | Clinic/Center | W249s3642 Center Rd, Waukesha, WI 53189-7364 | 2020-09-02 |
| 1144764978 | Summit Square Dental LLC | Clinic/Center | 3228 Turnberry Oak Dr, Waukesha, WI 53188-3969 | 2016-12-13 |
| 1659749778 | Hillcrest Family Dental LLC | Clinic/Center | 1751 E Main St, Waukesha, WI 53186-3940 | 2015-09-05 |
| 1316347826 | Smiles for Miles Family Dentistry, LLC | Clinic/Center | S22w22660 Broadway, Suite 2, Waukesha, WI 53186-8100 | 2014-09-03 |
| 1477952687 | Proven Dental LLC | Clinic/Center | 1700 Coral Dr, Waukesha, WI 53186-1483 | 2014-08-14 |
| 1417295163 | Stephanie Race D.d.s., S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-30 |
| 1841538139 | Sunset Dental Care, S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-22 |
| 1114282829 | Your Family Dentist, LLC | Clinic/Center | 411 N Grand Ave, Suite 103, Waukesha, WI 53186-4961 | 2012-07-09 |
| 1629241237 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | 210 Nw Barstow St, Suite 305, Waukesha, WI 53188-3771 | 2008-04-04 |
| 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.