Luciana Miranda Wiltse, DDS, MS - Dentist in Elm Grove, WI

Luciana Miranda Wiltse, DDS, MS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Elm Grove, Wisconsin. Luciana Miranda Wiltse is licensed to practice in Wisconsin (license number 6102-15) and her current practice location is 12888 W. Bluemound Rd., Elm Grove, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 439-8233.

NPI number for Luciana Miranda Wiltse is 1962506964 and her current mailing address is 12888 W. Bluemound Rd., Elm Grove, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962506964.

Contact Information

Luciana Miranda Wiltse, DDS, MS
12888 W. Bluemound Rd.,
Elm Grove, WI 53122
(262) 439-8233
(262) 439-8246

Map and Direction




Healthcare Provider's Profile

Full NameLuciana Miranda Wiltse
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location12888 W. Bluemound Rd., Elm Grove, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962506964
  • Provider Enumeration Date: 09/11/2006
  • Last Update Date: 04/15/2022

Medical Identifiers

Medical identifiers for Luciana Miranda Wiltse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962506964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 08191 (Iowa)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 6102-15 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luciana Miranda Wiltse is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Luciana Miranda Wiltse, DDS, MS
12888 W. Bluemound Rd.,
Elm Grove, WI 53122

Ph: (262) 439-8233
Luciana Miranda Wiltse, DDS, MS
12888 W. Bluemound Rd.,
Elm Grove, WI 53122

Ph: (262) 439-8233

Reviews and Comments


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