DELAFIELD DENTAL SPECIALISTS LLC (NPI# 1407208002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407208002 |
| Entity Type | Organization |
| Organization Name | DELAFIELD DENTAL SPECIALISTS LLC |
| Practice Address |
920 Indian Spring Dr Delafield WI 53018-2242 |
| Practice Telephone | 2626462771 |
| Practice Fax Number | 2626462340 |
| Mailing Telephone | 2626462771 |
| Mailing Fax Number | 2626462340 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| Authorized Official Name | MR. CHRISTOPHER POTRYKUS (OWNER) |
| Authorized Official Telephone | 2626462771 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6886 | WI | Dental Providers |
| Street Address |
920 INDIAN SPRING DR |
| City | DELAFIELD |
| State | WI |
| Zip Code | 53018-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255458568 | Mark R Knutson | Dentist | 920 Indian Spring Dr, Delafield, WI 53018-2242 | 2007-03-23 |
| 1164915799 | Eyad Bittar | Dentist | 920 Indian Spring Dr, Delafield, WI 53018-2242 | 2018-06-08 |
| 1093152787 | Ann Marie Brobson | Dentist | 920 Indian Spring Dr, Delafield, WI 53018-2242 | 2013-06-04 |
| 1033477765 | Christopher Potrykus | Dentist | 920 Indian Spring Dr, Delafield, WI 53018-2242 | 2012-05-01 |
| 1104944743 | Thomas L Wavernek | Dentist | 920 Indian Spring Dr, Delafield, WI 53018-2242 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936870 | Balance Within, LLC | Clinic/Center | W314 N720 State Hwy 83, Delafield, WI 53018 | 2017-08-02 |
| 1548717861 | Anne Johnson, LLC | Community/Behavioral Health | W314 N720 Hwy 83, Delafield, WI 53018 | 2016-09-02 |
| 1912374190 | Gals Institute, LLC | Clinic/Center | 383 Williamstowne, Suite 101, Delafield, WI 53018 | 2015-08-24 |
| 1922442722 | Brittany Joelle Meyer | Family Medicine | 2301 Sun Valley Dr Ste 300, Delafield, WI 53018 | 2013-04-23 |
| 1417072497 | Sarah R R Couillard | Licensed Practical Nurse | 901 West Shore Dr, Delafield, WI 53018 | 2007-03-20 |
| 1942332440 | Yolanda Stephenson Wolff | Pediatrics | 3195 Hillside Dr, Delafield, WI 53018 | 2007-03-10 |
| 1568532521 | Maida Ann Parkins | Plastic Surgery | W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018 | 2006-11-08 |
| 1871679126 | David Wolf | Chiropractor | 20 Crossroads Ct., Ste. B, Delafield, WI 53018 | 2006-10-30 |
| 1548237985 | Medical Scanning Consultants Pa | Radiology | 2574 Sun Valley Dr, Ste 100, Delafield, WI 53018 | 2006-03-03 |
| 1902873334 | Cdi Delafield LLC | Radiology | 2574 Sun Valley Drive, Suite 100, Delafield, WI 53018 | 2006-03-03 |
| Find all providers in zip 53018 | ||||
| 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 |
|---|---|---|---|---|
| 1255458568 | Mark R Knutson | Dentist | 920 Indian Spring Dr, Delafield, WI 53018-2242 | 2007-03-23 |
| 1821146473 | Christopher Visaya | Dentist | 3210 Golf Rd, Delafield, WI 53018-2104 | 2007-01-08 |
| 1245215920 | Michelle J Kelly | Dentist | 11 Crossroads Ct, Delafield, WI 53018-2035 | 2005-12-14 |
| 1104944743 | Thomas L Wavernek | Dentist | 920 Indian Spring Dr, Delafield, WI 53018-2242 | 2007-03-26 |
| 1982763983 | Thomas E Kielma | Dentist | 524 Milwaukee St, Suite 200, Delafield, WI 53018-1460 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DELAFIELD DENTAL SPECIALISTS 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.