| Wisconsin Oral Surgery & Dental Implants, S.c. | |
|
10401 W Lincoln Ave Suite 101 West Allis WI 53227-1255 | |
| (414) 327-4130 | |
| (414) 327-4218 |
| Full Name | Wisconsin Oral Surgery & Dental Implants, S.c. |
|---|---|
| Speciality | Dentist |
| Location | 10401 W Lincoln Ave, West Allis, Wisconsin |
| Authorized Official Name and Position | Anthony L Ragonese (PRESIDENT) |
| Authorized Official Contact | 4143274130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Oral Surgery & Dental Implants, S.c. 10401 W Lincoln Ave Suite 101 West Allis WI 53227-1255 Ph: (414) 327-4130 | Wisconsin Oral Surgery & Dental Implants, S.c. 10401 W Lincoln Ave Suite 101 West Allis WI 53227-1255 Ph: (414) 327-4130 |
| NPI Number | 1760538490 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 03/29/2021 |
| Medicare PECOS PAC ID | 2466559562 |
|---|---|
| Medicare Enrollment ID | O20070524000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760538490 | NPI | - | NPPES |
| 33795900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5420-015 (Wisconsin) | Primary |
| Provider Name | Anthony Ragonese |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1649350398 PECOS PAC ID: 7618937715 Enrollment ID: I20051010000506 |
| Provider Name | Slaton Hoffner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295123529 PECOS PAC ID: 0749566396 Enrollment ID: I20170413001183 |
Michael A. Schwab, D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 W Lincoln Ave Ste 205, West Allis, WI 53227 Phone: 414-545-5030 Fax: 414-545-6251 | |
Family Dental Of South East Wisconsin, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10202 W Hayes Ave, West Allis, WI 53227 Phone: 414-321-2720 Fax: 414-321-7718 | |
Wisconsin Dental Group, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 W National Ave, West Allis, WI 53214 Phone: 608-231-2006 | |
Doctors' Denture Systems Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 W Lincoln Ave, West Allis, WI 53219 Phone: 414-321-7274 | |
Douglas Persich, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 W Greenfield Ave, West Allis, WI 53214 Phone: 414-258-2500 Fax: 414-238-6881 | |
Dr. James R. Maurin Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 W Lincoln Ave, Ste. 204, West Allis, WI 53227 Phone: 414-545-5380 Fax: 414-545-0622 | |
Dennis R Anderson Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10701 W Lincoln Ave, West Allis, WI 53227 Phone: 414-545-9090 Fax: 414-545-3440 |