GREENDALE DENTAL ASSOCIATES, S.C. (NPI# 1659425163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659425163 |
| Entity Type | Organization |
| Organization Name | GREENDALE DENTAL ASSOCIATES, S.C. |
| Practice Address |
5808 Broad St Greendale WI 53129-2404 |
| Practice Telephone | 4144212303 |
| Practice Fax Number | 4144212576 |
| Mailing Telephone | 4144212303 |
| Mailing Fax Number | 4144212576 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT WILLIAM ANDERSON (SECRETARY) |
| Authorized Official Telephone | 4144212303 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869109 | Greendale Dental Associates, S.c. | Dentist | 220a E Commerce Ct, Elkhorn, WI 53121-4371 | 2007-01-23 |
| Street Address |
5808 BROAD ST |
| City | GREENDALE |
| State | WI |
| Zip Code | 53129-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578619425 | Robert Paul Schwade | Dentist | 5808 Broad St, Greendale, WI 53129-2404 | 2007-01-25 |
| 1942354436 | Robert William Anderson | Dentist | 5808 Broad St, Greendale, WI 53129-2404 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579253 | Jewel E Schneider | Nurse Practitioner | 6801 Southway, Greendale, WI 53129 | 2017-03-09 |
| 1578019782 | Kristina Copeland | Nurse Practitioner | 6220 West Loomis Road, Greendale, WI 53129 | 2016-08-28 |
| 1568713162 | Monica A Judge | Acupuncturist | 5651 Broad Street, Greendale, WI 53129 | 2012-09-24 |
| 1295867364 | Allen Curphey Owen | Dentist | 5310 W Loomis Rd, Greendale, WI 53129 | 2007-03-12 |
| 1689720583 | Terry Michael Hough | Chiropractor | 5800 Broad St, Greendale, WI 53129 | 2007-01-25 |
| 1730282815 | Lindsay Kathryn Heus | Speech-Language Pathologist | 5405 W Loomis Rd, Greendale, WI 53129 | 2006-09-06 |
| 1477900561 | Therapy At Home LLC | Physical Therapist | 7711 Freeland Ct, Greendale, WI 53129 | 2016-05-18 |
| 1972871606 | Tony J Matuszak | Optometrist | 5497 S 76th St, Greendale, WI 53129 | 2011-12-08 |
| 1750589990 | Lisa Anne Balge | Occupational Therapist | 3111 West Rawson Avenue, Suite 215, Franklin, WI 53129 | 2007-07-10 |
| 1497282255 | Mobile Occupational Health and Wellness Urgent Care Solutions | Clinic/Center | 5055 S 84th St, Greendale, WI 53129-1006 | 2017-05-11 |
| Find all providers in zip 53129 | ||||
| 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 |
|---|---|---|---|---|
| 1295867364 | Allen Curphey Owen | Dentist | 5310 W Loomis Rd, Greendale, WI 53129 | 2007-03-12 |
| 1932154648 | Scott Paul Wilson | Dentist | 520 Sheldon St, Greendale, IN 47025-1549 | 2006-05-23 |
| 1578619425 | Robert Paul Schwade | Dentist | 5808 Broad St, Greendale, WI 53129-2404 | 2007-01-25 |
| 1942354436 | Robert William Anderson | Dentist | 5808 Broad St, Greendale, WI 53129-2404 | 2007-01-22 |
| 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.