DENTAL ASSOCIATES LTD (NPI# 1427116995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427116995 |
| Entity Type | Organization |
| Organization Name | DENTAL ASSOCIATES LTD |
| Practice Address |
11711 W Burleigh St Wauwatosa WI 53222-3108 |
| Practice Telephone | 4147785274 |
| Practice Fax Number | 4147717640 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | KATHERINE M GRUENEBERG (DIRECTOR OF PATIENT FINANCIAL SERVI) |
| Authorized Official Telephone | 4147785274 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194844092 | Dental Associates Ltd | Clinic/Center | 9401 Lee Hwy, Fairfax, VA 22031-1849 | 2007-03-29 |
| 1659433928 | Dental Associates Ltd | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-12-14 |
| Street Address |
11711 W BURLEIGH ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586552 | Frederick Peter Ballerini | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-06-14 |
| 1801441852 | Charles K Ariza | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2019-08-06 |
| 1851953053 | Olivia Louise Pogodzinski | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2019-07-08 |
| 1639664527 | Mersedes S. Sweeney | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3196 | 2018-06-25 |
| 1932634425 | Mohammed A Mansour | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2017-04-22 |
| 1801240627 | Ekta Desai | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2016-04-18 |
| 1164713806 | Morris Jose De Leon Andrino | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2011-04-28 |
| 1679616304 | Donald Richard Kratz | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2007-02-14 |
| 1659433928 | Dental Associates Ltd | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-12-14 |
| 1396842712 | Jonathan George Frankmann | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063710655 | Erik Daniel Deyoung | Dentist | 6100 W State St, Apt. 636, Wauwatosa, WI 53213-2983 | 2011-03-05 |
| 1376786285 | Ronald David Meyers | Dentist | 2600 N Mayfair Rd Ste 240, Wauwatosa, WI 53226-1309 | 2009-04-08 |
| 1942450457 | Wisconsin Endodontic Group, S.c. | Dentist | 2600 N. Mayfair Rd., Ste 240, Wauwatosa, WI 53226 | 2008-09-22 |
| 1780815928 | Raison Sujai Bose | Dentist | 2600 N Mayfair Rd, Suite 240, Wauwatosa, WI 53226-1309 | 2009-08-06 |
| 1245455831 | Anne Fergus | Dentist | 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226-1309 | 2007-04-17 |
| 1093930380 | Richard V. Knoff | Dentist | 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226-1309 | 2007-04-13 |
| 1932121993 | Andris Jaunberzins | Dentist | 2500 N Mayfair Rd, Suite 360, Wauwatosa, WI 53226-1409 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1891319273 | Janesville Endodontics | Dentist | 1616 N Randall Ave Ste 180, Janesville, WI 53545-1155 | 2020-06-02 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1215344478 | Helen Tsao | Dentist | 2606 Stewart Ave, Ste 102, Wausau, WI 54401-5502 | 2014-07-18 |
| 1275973166 | Meridian Endodontics and Periodontics | Dentist | 20350 Water Tower Blvd Ste 203, Brookfield, WI 53045-3558 | 2013-06-25 |
| 1447698451 | Eva C Dahl | Dentist | 2700 National Dr Ste 1, Onalaska, WI 54650-6708 | 2013-06-12 |
| 1275873374 | F Kris Olsen | Dentist | 1320 S Green Bay Road, Racine Dental Group, Racine, WI 53406 | 2013-02-26 |
| 1558519058 | Kendra Kay Boda | Dentist | 3004 Golf Rd Ste 102, Eau Claire, WI 54701-8794 | 2008-09-09 |
| 1083870232 | Daniel Young | Dentist | 2700 National Dr Ste 102, Onalaska, WI 54650-6709 | 2008-08-06 |
| 1215146543 | Patrick W White | Dentist | 1100 N Lynndale Dr, Appleton, WI 54914-3011 | 2007-05-22 |
| 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.