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1011 N Mayfair Rd Suite 303 Wauwatosa WI 53226-3431 | |
| (414) 771-4480 | |
| (414) 771-8862 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1011 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Kenneth Paul Ferentchak (PARTNER) |
| Authorized Official Contact | 4147714480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1011 N Mayfair Rd Suite 303 Wauwatosa WI 53226-3431 Ph: (414) 771-4480 | 1011 N Mayfair Rd Suite 303 Wauwatosa WI 53226-3431 Ph: (414) 771-4480 |
| NPI Number | 1851499362 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851499362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4039 (Wisconsin) | 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 | |
Generations Family Dental Care-tosa, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 N Mayfair Rd Ste 103, Wauwatosa, WI 53226 Phone: 414-258-2117 Fax: 414-258-4117 | |
Wauwatosa Dental Group Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 750, Wauwatosa, WI 53226 Phone: 414-257-3366 Fax: 414-258-1390 | |
Advanced Dental Specialists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd Ste 101, Wauwatosa, WI 53226 Phone: 414-475-1418 | |
Generations Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 N Mayfair Rd, #103, Wauwatosa, WI 53226 Phone: 414-258-2117 Fax: 414-258-4177 | |
Wisconsin Dental Team, A Service Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-567-0662 Fax: 414-249-6075 |