GENERATIONS FAMILY DENTAL CARE MENOMONEE FALLS, LLC (NPI# 1386027548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386027548 |
| Entity Type | Organization |
| Organization Name | GENERATIONS FAMILY DENTAL CARE MENOMONEE FALLS, LLC |
| Practice Address |
N48 W14170 Hampton Ave. Menomonee Falls WI 53051 |
| Practice Telephone | 2627818416 |
| Practice Fax Number | 2627819268 |
| Mailing Telephone | 2627818416 |
| Mailing Fax Number | 2627819268 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | DR. FRED A. LA COURT (DENTIST) |
| Authorized Official Telephone | 4142582117 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
N48 W14170 HAMPTON AVE. |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| 1528313038 | Saif Ullah | Internal Medicine | N8085 Falls Town Hall Rd W180, Menomonee Falls, WI 53051 | 2012-07-20 |
| Find all providers in zip 53051 | ||||
| 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 |
|---|---|---|---|---|
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| 1316112782 | Manika Patwari | Dentist | W178n9201 Water Tower Pl Ste 100, Menomonee Falls, WI 53051-8029 | 2008-04-28 |
| 1003012709 | Stephen William Thomas | Dentist | N84 W15865 Appleton Ave, Menomonee Falls, WI 53051 | 2007-06-21 |
| 1114042330 | Matthew Thomas Pruhs | Dentist | W178n9201 Watertower Place, Suite 100, Menomonee Falls, WI 53051 | 2007-03-20 |
| 1740314087 | Ronald Joseph Schmidt | Dentist | N89w15680 Main St, Menomonee Falls, WI 53051-2989 | 2007-03-16 |
| 1407988827 | Daniel James Levandoski | Dentist | N80w14832 Appleton Ave, Menomonee Falls, WI 53051-3879 | 2007-03-12 |
| 1902958937 | John Peter Ansay IIi | Dentist | N88w16951 Main St, Menomonee Falls, WI 53051-2828 | 2007-01-18 |
| 1154487551 | Kathleen Herrscher | Dentist | N80w17707 Custer Ln, Menomonee Falls, WI 53051-3630 | 2006-12-29 |
| 1629132634 | Thomas James Dudley | Dentist | N84w15959 Appleton Ave, Menomonee Falls, WI 53051-3044 | 2006-12-21 |
| 1932204781 | James Michael Molthen | Dentist | N48 W14170 Hampton Avenue, Menomonee Falls, WI 53051 | 2006-09-14 |
| Find all providers in MENOMONEE FALLS | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
Please comment or provide details below to improve the information on GENERATIONS FAMILY DENTAL CARE MENOMONEE FALLS, LLC.
| 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.