ADVANCED DENTAL SPECIALISTS, LLC (NPI# 1972773588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972773588 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL SPECIALISTS, LLC |
| Other Organization Name | ADVANCED DENTAL SPECIALISTS |
| Practice Address |
9052 N Deerbrook Trl Milwaukee WI 53223-2474 |
| Practice Telephone | 4143572040 |
| Mailing Telephone | 4143572040 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2010-03-31 |
| Authorized Official Name | PETER YOUNG (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 4143572040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Dental Specialists | Doing Business As Name - Organization |
| Street Address |
9052 N DEERBROOK TRL |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53223-2474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003978057 | Wisconsin Dental Group, S. C. | Dentist | 9052 N Deerbrook Trl, Milwaukee, WI 53223-2474 | 2006-12-15 |
| 1467582833 | Wisconsin Dental Group,s.c. | Dentist | 9052 N Deerbrook Trl, Milwaukee, WI 53223-2474 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| 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 |
|---|---|---|---|---|
| 1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
| 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 |
| 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.