Advanced Dental Specialists, Llc | |
2600 N Mayfair Rd Ste 101 Wauwatosa WI 53226-1320 | |
(414) 475-1418 | |
Not Available |
Full Name | Advanced Dental Specialists, Llc |
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Speciality | Dentist - General Practice |
Location | 2600 N Mayfair Rd Ste 101, Wauwatosa, Wisconsin |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Dental Specialists, Llc 2600 N Mayfair Rd Ste 101 Wauwatosa WI 53226-1320 Ph: (414) 475-1418 | Advanced Dental Specialists, Llc 2600 N Mayfair Rd Ste 101 Wauwatosa WI 53226-1320 Ph: (414) 475-1418 |
NPI Number | 1174271076 |
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Provider Enumeration Date | 03/10/2022 |
Last Update Date | 03/10/2022 |
Identifier | Type | State | Issuer |
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1174271076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jay L. Mackman, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 N 76th St, Wauwatosa, WI 53213 Phone: 414-476-9400 | |
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