WAUKESHA COUNTY COMMUNITY DENTAL CLINIC, INC. (NPI# 1629241237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629241237 |
Entity Type | Organization |
Organization Name | WAUKESHA COUNTY COMMUNITY DENTAL CLINIC, INC. |
Practice Address |
210 Nw Barstow St Suite 305 Waukesha WI 53188-3771 |
Practice Telephone | 2625227645 |
Mailing Telephone | 2625227645 |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-20 |
Authorized Official Name | RENEE RAMIREZ (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2625227645 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
========= | WI | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
Street Address |
210 NW BARSTOW ST SUITE 305 |
City | WAUKESHA |
State | WI |
Zip Code | 53188-3771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669457214 | Eduardo Scholcoff | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2005-12-07 |
1760002703 | Erin Maureen Glembocki | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-20 |
1538789763 | Samantha Pawela | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
1588284707 | Hannah E Ingvalson | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
1154941334 | Alexis Rose Baker | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
1780204933 | Daniel John Lunetta | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
1902339591 | Kelsey Bierdeman | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2017-04-10 |
1407210255 | Tyler Erwin Narloch | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2016-04-07 |
1386007284 | Jennifer Leigh Zeman | Family Medicine | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2016-03-30 |
1265894539 | Laurie Beth Potratz | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188 | 2016-03-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
Find all providers in zip 53188 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063634228 | Renner and Martin Dds Sc | Clinic/Center | 1111 Delafield St. #319, Waukesha, WI 53188-3407 | 2007-05-03 |
1801400338 | Tanty Family Dental | Clinic/Center | W249s3642 Center Rd, Waukesha, WI 53189-7364 | 2020-09-02 |
1144764978 | Summit Square Dental LLC | Clinic/Center | 3228 Turnberry Oak Dr, Waukesha, WI 53188-3969 | 2016-12-13 |
1659749778 | Hillcrest Family Dental LLC | Clinic/Center | 1751 E Main St, Waukesha, WI 53186-3940 | 2015-09-05 |
1316347826 | Smiles for Miles Family Dentistry, LLC | Clinic/Center | S22w22660 Broadway, Suite 2, Waukesha, WI 53186-8100 | 2014-09-03 |
1477952687 | Proven Dental LLC | Clinic/Center | 1700 Coral Dr, Waukesha, WI 53186-1483 | 2014-08-14 |
1417295163 | Stephanie Race D.d.s., S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-30 |
1841538139 | Sunset Dental Care, S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-22 |
1245578665 | Jeffrey O'brien, D.d.s., S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-18 |
1114282829 | Your Family Dentist, LLC | Clinic/Center | 411 N Grand Ave, Suite 103, Waukesha, WI 53186-4961 | 2012-07-09 |
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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.