DR. TRACY DAVIES (NPI# 1386772986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386772986 |
| Entity Type | Individual |
| Full Name | DR. TRACY DAVIES |
| Other Name | TRACY TAYLOR |
| Credential | DDS |
| Practice Address |
2481 Executive Dr East Troy WI 53120 |
| Mailing Address |
Po Box 642 East Troy WI 53120 |
| Practice Telephone | 2626425695 |
| Mailing Telephone | 2626425695 |
| Mailing Fax Number | 2626425395 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5518 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33781300 | 05 | |
| BLUE CROSS | 391449280018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205198744 | Tracy Davies | Family Medicine | 640 Flormann St, Rapid City, SD 57701-4679 | 2012-06-11 |
| 1104026624 | Tracy E Davies | Dentist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2007-07-23 |
| 1033134143 | Tracy L Davies | Nurse Practitioner | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2006-07-12 |
| Street Address |
2481 EXECUTIVE DR |
| City | EAST TROY |
| State | WI |
| Zip Code | 53120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376607408 | East Troy Family Dental Center Sc | Clinic/Center | 2481 Executive Dr, East Troy, WI 53120 | 2006-12-21 |
| 1982041661 | Joseph Draper Flask | Dentist | 2481 Executive Dr, East Troy, WI 53120-2579 | 2013-06-04 |
| 1063554350 | Gregory A Nyffeler | Dentist | 2481 Executive Dr, East Troy, WI 53120 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508026659 | Thomas Philip Wanezek | Dentist | 3278 Main Street, East Troy, WI 53120 | 2008-06-12 |
| 1043470347 | Christopher Joseph Mantel | Dentist | 2481 Executive Drive, East Troy, WI 53120 | 2008-06-11 |
| 1649337726 | Wanezek Family Dentistry | Dentist | W3278 Main Street, East Troy, WI 53120 | 2007-01-02 |
| 1215012117 | Laura Lee Sperle | Registered Nurse | N 8015 Nicky Ct, East Troy, WI 53120 | 2006-10-26 |
| 1609091313 | Koskinen Eye Clinic, LLC | Optometrist | 3278 W Main St, Suite B, East Troy, WI 53120 | 2007-04-16 |
| 1881628295 | Leslie A. Mroch | Registered Nurse | North 9351 Adams Road, East Troy, WI 53120-0103 | 2006-07-10 |
| 1780733477 | Gerald W Koskinen | Optometrist | 3278 W Main St, East Troy, WI 53120-0165 | 2007-01-10 |
| 1578614228 | Truman George Long | Counselor | 2100 Church Street, East Troy, WI 53120-0621 | 2007-01-16 |
| 1659425213 | Susan Sally Ashton | Psychologist | 2100 Church Street, East Troy, WI 53120-0621 | 2007-01-22 |
| 1104885177 | Tricia Ann Solbjerg-nielsen | Registered Nurse | 3208 Graydon Ave, East Troy, WI 53120-1106 | 2006-03-20 |
| Find all providers in zip 53120 | ||||
| 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 |
|---|---|---|---|---|
| 1043470347 | Christopher Joseph Mantel | Dentist | 2481 Executive Drive, East Troy, WI 53120 | 2008-06-11 |
| 1063554350 | Gregory A Nyffeler | Dentist | 2481 Executive Dr, East Troy, WI 53120 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.