Dental Associates Ltd Of Wisconsin | |
11711 W Burleigh St Wauwatosa WI 53222-3196 | |
(414) 778-5274 | |
(414) 777-3229 |
Full Name | Dental Associates Ltd Of Wisconsin |
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Speciality | Dentist |
Location | 11711 W Burleigh St, Wauwatosa, Wisconsin |
Authorized Official Name and Position | Scott Bauer (DIRECTOR OF PFS DEPT) |
Authorized Official Contact | 4148083020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dental Associates Ltd Of Wisconsin 11711 W Burleigh St Wauwatosa WI 53222-3196 Ph: (414) 778-5274 | Dental Associates Ltd Of Wisconsin 11711 W Burleigh St Wauwatosa WI 53222-3196 Ph: (414) 778-5274 |
NPI Number | 1518266998 |
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Provider Enumeration Date | 03/24/2011 |
Last Update Date | 11/15/2022 |
Medicare PECOS PAC ID | 0244402220 |
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Medicare Enrollment ID | O20111018000066 |
Identifier | Type | State | Issuer |
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1518266998 | NPI | - | NPPES |
Provider Name | John A Vravick |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1467527788 PECOS PAC ID: 9234292509 Enrollment ID: I20090113000319 |
Provider Name | Donald Woehling |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1467569301 PECOS PAC ID: 8123181427 Enrollment ID: I20090113000550 |
Provider Name | Yiu Cheung Chow |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1942499082 PECOS PAC ID: 6901107705 Enrollment ID: I20151221002266 |
Provider Name | Joseph A Laspisa |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1790891281 PECOS PAC ID: 9032359971 Enrollment ID: I20151222002027 |
Provider Name | David M Anderson |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1619061546 PECOS PAC ID: 0648561381 Enrollment ID: I20220420001993 |
Provider Name | Marie Gilberte Cineus |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1609496595 PECOS PAC ID: 6305254152 Enrollment ID: I20250307002731 |
Jay L. Mackman, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 N 76th St, Wauwatosa, WI 53213 Phone: 414-476-9400 | |
Generations Family Dental Care-tosa, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 N Mayfair Rd Ste 103, Wauwatosa, WI 53226 Phone: 414-258-2117 Fax: 414-258-4117 | |
Wauwatosa Dental Group Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 750, Wauwatosa, WI 53226 Phone: 414-257-3366 Fax: 414-258-1390 | |
Lmg, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2626 N 76th Street, Suite 101, Wauwatosa, WI 53213 Phone: 414-476-9400 Fax: 414-755-4769 | |
Advanced Dental Specialists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd Ste 101, Wauwatosa, WI 53226 Phone: 414-475-1418 | |
Generations Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 N Mayfair Rd, #103, Wauwatosa, WI 53226 Phone: 414-258-2117 Fax: 414-258-4177 | |
Wisconsin Dental Team, A Service Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-567-0662 Fax: 414-249-6075 |