ENDODONTIC SPECIALISTS, S.C. (NPI# 1841343761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841343761 |
| Entity Type | Organization |
| Organization Name | ENDODONTIC SPECIALISTS, S.C. |
| Practice Address |
10401 W Lincoln Ave Ste. 104 West Allis WI 53227-1255 |
| Practice Telephone | 4145461900 |
| Practice Fax Number | 4145461901 |
| Mailing Telephone | 4145461900 |
| Mailing Fax Number | 4145461901 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID BELARDI (OWNER) |
| Authorized Official Telephone | 4145461900 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
5520-015 | WI | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
4387-015 | WI | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5534-015 | WI | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 77631-001 | 05 |
| Street Address |
10401 W LINCOLN AVE STE. 104 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617092 | Daniel R. Hellman | Anesthesiology | 10401 W Lincoln Ave, West Allis, WI 53227-1255 | 2005-11-25 |
| 1942767314 | Quirt Family Dentistry | Dentist | 10401 W Lincoln Ave, West Allis, WI 53227-1255 | 2019-02-21 |
| 1255634499 | Laura Mercedes Socias | Dentist | 10401 W Lincoln Ave, Suite 204, West Allis, WI 53227-1255 | 2010-12-09 |
| 1760538490 | Wisconsin Oral Surgery and Dental Implants Sc | Dentist | 10401 W Lincoln Ave, Suite 101, West Allis, WI 53227-1255 | 2007-01-26 |
| 1649350398 | Anthony L Ragonese | Dentist | 10401 W Lincoln Ave, Suite 101 Oral Surgery Associates of Se Wisconsin, West Allis, WI 53227-1255 | 2006-10-17 |
| 1962514281 | Michael A. Schwab | Dentist | 10401 W Lincoln Ave, Suite 205, West Allis, WI 53227-1255 | 2006-08-31 |
| 1235146986 | Dr. James R. Maurin Dds Sc | Dentist | 10401 W Lincoln Ave, Ste. 204, West Allis, WI 53227-1255 | 2006-08-02 |
| 1225077910 | Barry R. Franzen | Dentist | 10401 W Lincoln Ave, Suite 105, West Allis, WI 53227-1255 | 2006-06-06 |
| 1255393336 | Alvin William Gloyeck | Dentist | 10401 W Lincoln Ave, Suite 102, West Allis, WI 53227-1255 | 2006-04-04 |
| 1013978576 | Ronald Howard Verhulst | Dentist | 10401 W Lincoln Ave, 102, West Allis, WI 53227-1255 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1891319273 | Janesville Endodontics | Dentist | 1616 N Randall Ave Ste 180, Janesville, WI 53545-1155 | 2020-06-02 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1215344478 | Helen Tsao | Dentist | 2606 Stewart Ave, Ste 102, Wausau, WI 54401-5502 | 2014-07-18 |
| 1275973166 | Meridian Endodontics and Periodontics | Dentist | 20350 Water Tower Blvd Ste 203, Brookfield, WI 53045-3558 | 2013-06-25 |
| 1447698451 | Eva C Dahl | Dentist | 2700 National Dr Ste 1, Onalaska, WI 54650-6708 | 2013-06-12 |
| 1275873374 | F Kris Olsen | Dentist | 1320 S Green Bay Road, Racine Dental Group, Racine, WI 53406 | 2013-02-26 |
| 1063710655 | Erik Daniel Deyoung | Dentist | 6100 W State St, Apt. 636, Wauwatosa, WI 53213-2983 | 2011-03-05 |
| 1376786285 | Ronald David Meyers | Dentist | 2600 N Mayfair Rd Ste 240, Wauwatosa, WI 53226-1309 | 2009-04-08 |
| 1942450457 | Wisconsin Endodontic Group, S.c. | Dentist | 2600 N. Mayfair Rd., Ste 240, Wauwatosa, WI 53226 | 2008-09-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.