DR NEIL E PETERSON & ASSOC (NPI# 1679778138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679778138 |
| Entity Type | Organization |
| Organization Name | DR NEIL E PETERSON & ASSOC |
| Other Organization Name | WESTGATE DENTAL GROUP |
| Practice Address |
5019 W North Avenue Milwaukee WI 53208-1121 |
| Practice Telephone | 4144456600 |
| Practice Fax Number | 4144456618 |
| Mailing Telephone | 4144456600 |
| Mailing Fax Number | 4144456618 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NEIL EDWARD PETERSON (OWNER) |
| Authorized Official Telephone | 4144456600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5000681 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38375200 | 05 |
| Other Name | Type Code |
|---|---|
| Westgate Dental Group | Doing Business As Name - Organization |
| Street Address |
5019 W NORTH AVENUE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53208-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662535 | Mary Ehrgood | Marriage & Family Therapist | Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 | 2019-01-04 |
| 1265976989 | Redeeming Hearts Home Care Agency, LLC | Home Health | 3223 W Lloyd St, Milwaukee, WI 53208 | 2016-12-14 |
| 1205379500 | Benjamin Michael Bleck-owens | Counselor | 5508 W. Vliet Street, Milwaukee, WI 53208 | 2016-11-18 |
| 1730552662 | John Bosnjak | Pharmacist | 3727 W. Wisconsin Ave., Milwaukee, WI 53208 | 2015-10-30 |
| 1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
| 1629407226 | Dhanya Jayadevan Nair | Marriage & Family Therapist | 3200 W. Highland Blvd., Milwaukee, WI 53208 | 2013-11-04 |
| 1619215704 | Nurturing Concepts LLC | In Home Supportive Care | 5722 W North Ave, Milwaukee, WI 53208 | 2013-01-23 |
| 1831447986 | Amy Schuldt | Registered Nurse | 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 | 2012-08-21 |
| 1144588922 | Grassroots Empowerment Project Inc | Community Health Worker | 3732 W Wisconsin Ave, Milwaukee, WI 53208 | 2012-04-30 |
| 1245468180 | Elizabeth Adams | Registered Nurse | 1917 N 34 Th St, Milwaukee, WI 53208 | 2009-06-30 |
| Find all providers in zip 53208 | ||||
| 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 |
|---|---|---|---|---|
| 1053962654 | Flavio De Alcantara Camejo | Dentist | 1801 W Wisconsin Ave Rm S221, Milwaukee, WI 53233-2186 | 2019-09-25 |
| 1083276893 | Michelle Wanserski | Dentist | 3460 N Humboldt Blvd, Milwaukee, WI 53212-1702 | 2019-07-01 |
| 1720548787 | Jared Holloway | Dentist | 1801 W Wisconsin Ave Rm 243, Milwaukee, WI 53233-2186 | 2019-03-24 |
| 1245796796 | Amelia Anne Leuer | Dentist | 9000 W Wisconsin Ave Ste 310, Milwaukee, WI 53226-4874 | 2019-02-20 |
| 1710464904 | Ashley Lazar | Dentist | 9200 W Wisconsin, Cfac 5th Floor, Milwaukee, WI 53226 | 2018-07-20 |
| 1073005476 | Habib Ali Rahemtulla | Dentist | 7635 W Bluemound Rd Ste 208, Milwaukee, WI 53213-3500 | 2018-05-31 |
| 1376069690 | Fiona Kwok | Dentist | 4144 N 104th St, Milwaukee, WI 53222-1205 | 2017-08-17 |
| 1104346212 | Igor Sorin | Dentist | 132 N Jefferson St Apt 450, Milwaukee, WI 53202-6152 | 2017-06-21 |
| 1962938605 | Aaron C Seubert | Dentist | 925 E Wells St, Apt. 222, Milwaukee, WI 53202-3900 | 2017-05-01 |
| 1174975007 | Scott Macdonald | Dentist | 3218 N Summit Ave, Milwaukee, WI 53211-3151 | 2016-07-03 |
| Find all providers in MILWAUKEE | ||||
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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.