AMERICAN DENTAL SPECIALTY INSTITUTE, SC (NPI# 1295930634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295930634 |
| Entity Type | Organization |
| Organization Name | AMERICAN DENTAL SPECIALTY INSTITUTE, SC |
| Other Organization Name | DENTAL IMPLANT INSTITUTE OF WISCONSIN |
| Practice Address |
2323 S 109th St Suite 275 West Allis WI 53227-1909 |
| Practice Telephone | 4143217200 |
| Practice Fax Number | 4143213232 |
| Mailing Telephone | 4143217200 |
| Mailing Fax Number | 4143213232 |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. AHMAD ESLAMI (PRESIDENT) |
| Authorized Official Telephone | 4143217200 |
| Authorized Official Credential | D.M.D., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3218 | WI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Implant Institute of Wisconsin | Other Name - Individual/Organization |
| Street Address |
2323 S 109TH ST SUITE 275 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043327505 | Paul Gordon Malen | Family Medicine | 2323 S 109th St, #220, West Allis, WI 53227 | 2006-08-23 |
| 1073062410 | Saima Akbar Md LLC | Internal Medicine | 2323 S 109th St, Suite 195, West Allis, WI 53227-1909 | 2016-09-27 |
| 1073940235 | Rising Phoenix Heart Institute | Clinic/Center | 2323 S 109th St, Suite 195, West Allis, WI 53227-1909 | 2013-10-02 |
| 1407011497 | Saima T Akbar | Internal Medicine | 2323 S 109th St, Ste 195, West Allis, WI 53227-1911 | 2008-07-19 |
| 1659555712 | Rising Phoenix Heart Institute, Sc | Specialist | 2323 S 109th St, Suite 195, West Allis, WI 53227-1909 | 2007-12-26 |
| 1528181252 | Michael Edward Flynn | Dentist | 2323 S 109th St, #300, West Allis, WI 53227-1909 | 2007-04-09 |
| 1801907886 | Ahmad Eslami | Dentist | 2323 S 109th St, Suite # 275, West Allis, WI 53227-1909 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760684930 | Jeffrey Joseph Burke | Dentist | 2323 S 109th St Ste 275, West Allis, WI 53227-1912 | 2007-06-01 |
| 1336279975 | Wisconsin Dental Group, S.c. | Dentist | 8801 W National Ave, West Allis, WI 53227-1635 | 2007-03-06 |
| 1871693747 | Andrew Dentino | Dentist | 555 S 108th St, West Allis, WI 53214-1100 | 2006-09-22 |
| 1801907886 | Ahmad Eslami | Dentist | 2323 S 109th St, Suite # 275, West Allis, WI 53227-1909 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683830 | Phillip Crum | Dentist | 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 | 2016-08-11 |
| 1285937557 | Craig William Byers | Dentist | 2457 North Mayfair Road, Suite 102, Wauwatosa, WI 53226-1405 | 2010-12-08 |
| 1558662387 | Jason William Cooke | Dentist | 2557b E Calumet St, Appleton, WI 54915-4748 | 2010-11-10 |
| 1780998997 | Thomas C. Kelley Dds Msd LLC | Dentist | 17280 W North Ave Ste 203, Brookfield, WI 53045-4366 | 2010-07-29 |
| 1376789933 | Shoreline Periodontics Limited | Dentist | 2808 Kohler Memorial Dr, Suite 2, Sheboygan, WI 53081-3177 | 2008-12-31 |
| 1003052895 | James P. Herman | Dentist | 5624 S Bonnie Ln, Hales Corners, WI 53130-1674 | 2008-12-28 |
| 1992915276 | Scott George Metskas | Dentist | 3364 Iris Ln, Stevens Point, WI 54481-5618 | 2007-05-23 |
| 1134339500 | Fox River Periodontics Sc | Dentist | 2557b East Calumet St, Appleton, WI 54915 | 2007-05-23 |
| 1891903043 | Denise Y Shih | Dentist | 2853 N Marietta Ave, Milwaukee, WI 53211-3420 | 2007-05-20 |
| 1629280987 | Nancy Ellen Shumate | Dentist | 2600 N Mayfair Rd Ste 340, Wauwatosa, WI 53226-1372 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.