GREENFIELD OPTIMAL DENTAL CARE LLC (NPI# 1376930990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376930990 |
| Entity Type | Organization |
| Organization Name | GREENFIELD OPTIMAL DENTAL CARE LLC |
| Practice Address |
3670 S 108th St Greenfield WI 53228-1206 |
| Mailing Address |
3670 S. 108th Street Greenfield WI 53228 |
| Practice Telephone | 4148375989 |
| Practice Fax Number | 4148375992 |
| Mailing Telephone | 4148375989 |
| Mailing Fax Number | 4148375992 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | DR. EMMANUEL IGWIKE (MANAGER/PART OWNER) |
| Authorized Official Telephone | 4148375989 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5519 | WI | Dental Providers |
| Street Address |
3670 S 108TH ST |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53228-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175371 | Paul Martin Godich | Optometrist | 3670 S 108th St, Ste 204, Greenfield, WI 53228-1237 | 2005-12-16 |
| 1578940375 | Katie Gast | Dentist | 3670 S 108th St, Suite 200, Greenfield, WI 53228-1206 | 2015-04-30 |
| 1235281270 | Barry Albert Dahlgren | Optometrist | 3670 S 108th St, Ste 204, Greenfield, WI 53228-1237 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1710116561 | Kate Elizabeth Stolowski | Registered Nurse | 4616 S. 109th St, Greenfield, WI 53228 | 2009-07-14 |
| 1548486467 | Cynthia Denise Ireland | Physical Therapy Assistant | 3939 S 92 St, Greenfield, WI 53228 | 2007-04-18 |
| 1598800740 | Shorehaven Behavioral Health Inc | Counselor | 8405 W Forest Home Av, Suite 104, Milwaukee, WI 53228 | 2007-02-21 |
| 1194884114 | Thomas Stanley Omalley | Dentist | 8555 W Forest Home Ave, Greenfield, WI 53228 | 2006-12-06 |
| 1750468732 | Omalley Dentistry Sc | Dentist | 8555 W Forest Hm Ave, Suite 101, Greenfield, WI 53228 | 2006-11-01 |
| 1114002359 | Eileen Mary Langyel | Dentist | 3783 So 108th St, Greenfield, WI 53228 | 2006-10-26 |
| 1801998778 | William Carini Dds Sc | Dentist | 10707 W Beloit Road, Advanced Dental Treatment Center, Greenfield, WI 53228 | 2006-09-02 |
| 1497857304 | William J Carini | Dentist | 10707 W Beloit Rd, Advanced Dental Treatment Center, Green Field, WI 53228 | 2006-09-01 |
| 1609814367 | Cedar Creek Family Counseling, Inc | Counselor | 9910 W. Layton Ave, Suite 2, Greenfield, WI 53228 | 2006-06-03 |
| Find all providers in zip 53228 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033765045 | Ozarks Resource Group | Dentist | 413 W. Water St., Greenfield, MO 65661-1353 | 2019-08-15 |
| 1447645866 | Timothy C. Fish | Dentist | 262 Federal St, Greenfield, MA 01301-1931 | 2015-04-02 |
| 1457510596 | Sarah J Magnuson | Dentist | 7500 State Highway 55, Suite 200, Greenfield, MN 55373-6620 | 2008-06-04 |
| 1245411750 | Eva-marie Powers | Dentist | 168 E New Rd, Greenfield, IN 46140-9085 | 2007-11-27 |
| 1912199498 | Jorge Pinero | Dentist | 7308 W Layton Avenue, Greenfield, WI 53220 | 2007-08-17 |
| 1174721641 | Rafid Ismael Khamis | Dentist | 329 El Camino Real, Greenfield, CA 93927 | 2007-07-06 |
| 1255537353 | Edward G Garry | Dentist | 1200 N. State St., Greenfield, IN 46140-1055 | 2007-06-25 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1285768259 | Gary W Bardonner, Dds, Inc | Dentist | 940 N State St, Greenfield, IN 46140-1202 | 2007-03-14 |
| 1194878074 | James Arthur Landon | Dentist | 8430 W Forest Home Ave, Greenfield, WI 53228-3416 | 2007-01-22 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53228 |
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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.