DR. MARYLOU C SABINO (NPI# 1912950221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912950221 |
| Entity Type | Individual |
| Full Name | DR. MARYLOU C SABINO |
| Credential | DDS |
| Practice Address |
840 N 87th St Oral and Maxillofacial Surgery Milwaukee WI 53226-3586 |
| Practice Telephone | 4148055760 |
| Practice Fax Number | 4142599115 |
| Mailing Telephone | 4148055760 |
| Mailing Fax Number | 4142599115 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 5692 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HUMANA | 008906261W | 01 | |
| WI | 1912950221 | 05 |
| Street Address |
840 N 87TH ST ORAL AND MAXILLOFACIAL SURGERY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851213 | Froedtert Surgery Center, LLC | Clinic/Center | 840 N 87th St, Milwaukee, WI 53226-3586 | 2005-09-19 |
| 1124665021 | Kristen Lynn Bunnell | Pharmacist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2019-12-10 |
| 1467832782 | Bret Waligora | Dentist | 840 N 87th St, Oral and Maxillofacial Surgery, Milwaukee, WI 53226-3586 | 2015-06-02 |
| 1801297973 | Donna Christine Ertz | Nurse Practitioner | 840 N 87th St, Milwaukee, WI 53226-3586 | 2014-09-09 |
| 1891105524 | Jordan Coleman Baker | Student in an Organized Health Care Education/Training Program | 840 N 87th St, Milwaukee, WI 53226-3586 | 2014-05-02 |
| 1457614463 | Kate Elizabeth Spoltman | Anesthesiologist Assistant | 840 N 87th St, Froedtert Surgery Center, Milwaukee, WI 53226 | 2012-06-25 |
| 1144529322 | Kyle David Smith | Dentist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2011-03-27 |
| 1457586943 | Lance Anthony Guyer | Student in an Organized Health Care Education/Training Program | 840 N 87th St, Milwaukee, WI 53226-3586 | 2009-05-27 |
| 1659575314 | Jill Merrill | Dentist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2007-06-14 |
| 1235205741 | Jane Chinhee Oh | Dentist | 840 N 87th St, Sargeant Health Center, Milwaukee, WI 53226-3586 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003139700 | Dean Tiboris | Oral & Maxillofacial Surgery | 5021 Washington Rd, Kenosha, WI 53144-4292 | 2010-03-09 |
| 1013020866 | Oral Surgery Assoc Ltd | Oral & Maxillofacial Surgery | 464 South Hickory Street, Suite A, Fond Du Lac, WI 54935 | 2006-08-16 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1699822403 | Andrew J Miller | Oral & Maxillofacial Surgery | 752 N High Point Rd, Madison, WI 53717-2236 | 2007-01-04 |
| 1457416299 | Brian J Blocher | Oral & Maxillofacial Surgery | 201 N Mayfair Rd, Suite 520, Wauwatosa, WI 53226 | 2006-12-22 |
| 1770684466 | Colin J Ott | Oral & Maxillofacial Surgery | 2600 Stewart Ave, Ste 266, Wausau, WI 54401 | 2006-09-26 |
| 1932118064 | Robert E Cline | Oral & Maxillofacial Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-07 |
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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.