DR. JUDSON CHARLES SMITH (NPI# 1952717753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952717753 |
| Entity Type | Individual |
| Full Name | DR. JUDSON CHARLES SMITH |
| Practice Address |
2323 N Mayfair Rd Ste 102 Milwaukee WI 53226 |
| Mailing Address |
2323 N Mayfair Rd Ste 102 Milwaukee WI 53226-1506 |
| Practice Telephone | 4142571161 |
| Practice Fax Number | 4142570194 |
| Mailing Telephone | 4142571161 |
| Mailing Fax Number | 4142570194 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1001751-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861456584 | Judson P Smith IIi | Ophthalmology | 417 W Magnolia Ave, Fort Worth, TX 76104 | 2006-04-12 |
| 1518937242 | Judson D. Smith | Psychologist | 62 Elm St, Portland, ME 04101-3091 | 2006-01-25 |
| 1447739529 | Judson Smith | Physical Therapist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2018-08-09 |
| 1992134357 | Judson Robert Smith | Nurse Practitioner | 2300 Patterson St, Emergency Department, Nashville, TN 37203-1538 | 2013-11-06 |
| 1720037450 | Judson Wayne Smith | Family Medicine | 801 20th Ave E, Jasper, AL 35501-4070 | 2006-05-09 |
| Street Address |
2323 N MAYFAIR RD STE 102 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750443347 | Wayne Edward Witte | Dentist | 224 N 76 St, Milwaukee, WI 53213-3554 | 2006-12-14 |
| 1558454272 | Thomas Walter Radmer | Dentist | 1801 West Wisconsin Av, Suite 106, Milwaukee, WI 53201 | 2006-10-02 |
| 1033120431 | John W Schoonenberg | Dentist | 1801 W. Wisconsin Ave, Milwaukee, WI 53201-1881 | 2006-08-10 |
| 1518935246 | Philip L Hawkins | Dentist | 2323 N Mayfair Rd, Ste 102, Milwaukee, WI 53226-1506 | 2006-03-09 |
| 1538136106 | David J Gingrass | Dentist | 2323 North Mayfair Rd, Suite 102, Milwaukee, WI 53226-1506 | 2006-03-02 |
| 1700267408 | Alejandro Arango | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-06-18 |
| 1023406139 | Omar Hussain | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-12-26 |
| 1144529322 | Kyle David Smith | Dentist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2011-03-27 |
| 1508028820 | Carolyn C Brookes | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2008-06-27 |
| 1598932634 | Robert N Schaub Sr. | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2008-05-08 |
| 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.