WANEZEK FAMILY DENTISTRY (NPI# 1649337726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649337726 |
| Entity Type | Organization |
| Organization Name | WANEZEK FAMILY DENTISTRY |
| Practice Address |
W3278 Main Street East Troy WI 53120 |
| Mailing Address |
Po Box 15 East Troy WI 53120 |
| Practice Telephone | 2626425881 |
| Practice Fax Number | 2626427252 |
| Mailing Telephone | 2626425881 |
| Mailing Fax Number | 2626427252 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PHILIP M WANEZEK (DENTIST OWNER) |
| Authorized Official Telephone | 2626425881 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
W3278 MAIN STREET |
| City | EAST TROY |
| State | WI |
| Zip Code | 53120 |
| 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 |
| 1376607408 | East Troy Family Dental Center Sc | Clinic/Center | 2481 Executive Dr, East Troy, WI 53120 | 2006-12-21 |
| 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 |
| 1386772986 | Tracy Davies | Dentist | 2481 Executive Dr, East Troy, WI 53120 | 2007-03-02 |
| 1063554350 | Gregory A Nyffeler | Dentist | 2481 Executive Dr, East Troy, WI 53120 | 2007-02-13 |
| 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 |
| Find all providers in zip 53120 | ||||
| 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 |
|---|---|---|---|---|
| 1508026659 | Thomas Philip Wanezek | Dentist | 3278 Main Street, East Troy, WI 53120 | 2008-06-12 |
| 1649673435 | Philip M Wanezek | Dentist | 3278 Main St, Suite A, East Troy, WI 53120-1152 | 2014-10-07 |
| 1982041661 | Joseph Draper Flask | Dentist | 2481 Executive Dr, East Troy, WI 53120-2579 | 2013-06-04 |
| 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 WANEZEK FAMILY DENTISTRY.
| 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.