MALYNN RATTANASAMAY (NPI# 1740620731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740620731 |
| Entity Type | Individual |
| Full Name | MALYNN RATTANASAMAY |
| Credential | DDS |
| Practice Address |
5433 W Fond Du Lac Ave Milwaukee WI 53216-1382 |
| Mailing Address |
9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-4874 |
| Practice Telephone | 4144456500 |
| Practice Fax Number | 4144456618 |
| Mailing Telephone | 4142667615 |
| Mailing Fax Number | 4142666238 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7130 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1740620731 | 05 |
| Street Address |
5433 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-1382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780647263 | Melanie Ann Mailloux | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2006-04-07 |
| 1750994968 | Doua Yang | Dental Hygienist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-08-26 |
| 1558995902 | Wesley Chiasson | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-02-25 |
| 1013558642 | Judith L Bellamy | Dental Hygienist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2019-10-04 |
| 1932631876 | Abby Engen-schimek | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2017-03-30 |
| 1003364811 | Kaitlin Schaeren | Nurse Practitioner | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2016-09-21 |
| 1790172070 | Nadia Dhuey | Nurse Practitioner | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-04-24 |
| 1487049276 | Lauren Murray | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-30 |
| 1104210277 | Alexandra Claire Korte | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-26 |
| 1518355858 | John Schimek | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| 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 |
|---|---|---|---|---|
| 1932752862 | Edp of Wisconsin, PC | Dentist | 1825 N Martin Luther King Dr, Milwaukee, WI 53212-3673 | 2019-07-19 |
| 1245742733 | D2 Dental of Wisconsin, S.c. | Dentist | 1838 S 15th St, Milwaukee, WI 53204-3225 | 2017-10-25 |
| 1003337494 | Anne Katherine Press | Dentist | 5000 National Dr, Milwaukee, WI 53295-0001 | 2017-07-06 |
| 1942739610 | Scott Thomas Boyer | Dentist | 1017 S 2nd St Unit 305, Milwaukee, WI 53204-1885 | 2017-06-07 |
| 1477908648 | Reem Mahjoub | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2016-04-25 |
| 1215381009 | Katherine Lynn Pauly | Dentist | 270 E Highland Ave Apt 236, Milwaukee, WI 53202-6638 | 2016-04-18 |
| 1154794584 | Familia Dental River Glen LLC | Dentist | 142 E Capitol Dr, Milwaukee, WI 53212-1206 | 2015-11-06 |
| 1609259266 | Familia Dental Mkemitchell LLC | Dentist | 821 S Layton Blvd, Milwaukee, WI 53215-1225 | 2015-07-01 |
| 1174811640 | Juhi Yadava | Dentist | 710 W Mitchell St, Milwaukee, WI 53204-3556 | 2011-07-18 |
| 1730474511 | Gloria Lee | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2011-06-09 |
| 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.