DR. BRYAN WILLIAM IWEN (NPI# 1861537300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861537300 |
Entity Type | Individual |
Full Name | DR. BRYAN WILLIAM IWEN |
Credential | D.D.S. |
Practice Address |
613 Center Dr Luxemburg WI 54217-1031 |
Practice Telephone | 9208452225 |
Practice Fax Number | 9208455627 |
Mailing Telephone | 9208452225 |
Mailing Fax Number | 9208455627 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
4930 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33744300 | 05 |
Street Address |
613 CENTER DR |
City | LUXEMBURG |
State | WI |
Zip Code | 54217-1031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871638254 | Abc Family Dental Services, S.c. | Dentist | 613 Center Dr, Luxemburg, WI 54217-1031 | 2007-02-21 |
1306981865 | Carmen M. Ayala-iwen | Dentist | 613 Center Dr, Luxemburg, WI 54217-1031 | 2007-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093836058 | Patti Ann Zeitler | Registered Nurse | N6185 School Creek Trail, Luxemburg, WI 54217 | 2007-04-03 |
1851375786 | Cheryl A Rentmeester | Nurse Practitioner | 140 B School Creek Trail, Luxemburg, WI 54217 | 2005-12-05 |
1003011149 | Lisa Marie Noskowiak | Licensed Practical Nurse | N6185 School Creek Trail, Luxemburg, WI 54217 | 2007-06-19 |
1164556940 | Melissa A Hardwick | Registered Nurse | N6185 School Creek Trl, Luxemberg, WI 54217 | 2007-03-15 |
1235273293 | Luxemburg Emergency and Rescue Service Association | Ambulance | 331 Willow St, Luxemburg, WI 54217-0000 | 2007-02-16 |
1891983565 | Luxemburg Casco School District | Local Education Agency (LEA) | 112 N Main St, Luxemburg, WI 54217-1000 | 2007-10-09 |
1881882553 | School District of Algoma | Local Education Agency (LEA) | 112 N Main St, Luxemburg, WI 54217-1000 | 2007-10-09 |
1548367824 | Luxemburg Family Chiropractic, Sc | Chiropractor | 195 Center Dr, Suite 102, Luxemburg, WI 54217-1016 | 2006-09-20 |
1114119575 | P&j Oaks | Assisted Living Facility | 409 3rd St, Luxemburg, WI 54217-1023 | 2007-08-09 |
1912048950 | Bonnie L Hert | Registered Nurse | N6185 School Creek Trl, Luxemburg, WI 54217-1035 | 2007-02-11 |
Find all providers in zip 54217 |
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 |
---|---|---|---|---|
1871638254 | Abc Family Dental Services, S.c. | Dentist | 613 Center Dr, Luxemburg, WI 54217-1031 | 2007-02-21 |
1306981865 | Carmen M. Ayala-iwen | Dentist | 613 Center Dr, Luxemburg, WI 54217-1031 | 2007-02-21 |
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 |
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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.