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FAMILY DENTAL OF SOUTH EAST WISCONSIN S.C. NPI 1053312389


NPI Information

NPI: 1053312389
Provider Name: FAMILY DENTAL OF SOUTH EAST WISCONSIN, S.C.

Former Legal Business Name: PETER M WILSENS DDS SC

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
10202 W HAYES AVE
WEST ALLIS, WI
ZIP 53227
Phone: (414) 321-2720
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FAMILY DENTAL OF SOUTH EAST WISCONSIN, S.C. is a dentist in West Allis, WI. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. FAMILY DENTAL OF SOUTH EAST WISCONSIN, S.C. NPI is 1053312389. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Peter M Wilsens Dds Sc.

The provider's business location address is:

10202 W HAYES AVE
WEST ALLIS, WI
ZIP 53227-042
Phone: (414) 321-2720
Fax: (414) 321-7718

The provider's authorized official is Thomas P Casey .
The authorized official title is Employee and has the following contact phone number (414) 321-2720.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 10/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist6783WISCONSINNo
2122300000XDentist2304WISCONSINNo
3122300000XDentist3499WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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