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MARQUETTE UNIVERSITY NPI 1013937499


NPI Information

NPI: 1013937499
Provider Name: MARQUETTE UNIVERSITY

Other Name: MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1801 W WISCONSIN AVE
SUITE 145 B
MILWAUKEE, WI
ZIP 53233
Phone: (414) 288-5902
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MARQUETTE UNIVERSITY is a general practice dentist in Milwaukee, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MARQUETTE UNIVERSITY NPI is 1013937499. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Marquette University School Of Dentistry.

The provider's business location address is:

1801 W WISCONSIN AVE
SUITE 145 B
MILWAUKEE, WI
ZIP 53233-186
Phone: (414) 288-5902
Fax: (414) 288-8361

The provider's authorized official is Timothy C Creamer .
The authorized official title is Associate Dean and has the following contact phone number (414) 288-7485.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/1/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsNo
21223P0221XDentistPediatric DentistryNo
31223P0300XDentistPeriodonticsNo
41223S0112XDentistOral and Maxillofacial SurgeryNo
51223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
177612MEDICARE ID-TYPE UNSPECIFIED
233360600MEDICAIDWISCONSIN

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: 4/28/2024

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