| Wauwatosa Family Dental | |
|
11904 W North Ave Ste 105 Wauwatosa WI 53226-2062 | |
| (414) 454-0700 | |
| (414) 778-0705 |
| Full Name | Wauwatosa Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11904 W North Ave Ste 105, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Christopher Potrykus (OWNER) |
| Authorized Official Contact | 2626462771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wauwatosa Family Dental 920 Indian Spring Dr Delafield WI 53018-2242 Ph: (262) 646-2771 | Wauwatosa Family Dental 11904 W North Ave Ste 105 Wauwatosa WI 53226-2062 Ph: (414) 454-0700 |
| NPI Number | 1821580572 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 05/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821580572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6886 (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 | |
Tmj & Orofacial Pain Treatment Centers Of Wi Dental Clinic Medicare: Medicare Enrolled Practice Location: 2626 N 76th Street, Suite 101, Wauwatosa, WI 53213 Phone: 414-476-9400 Fax: 414-755-4769 | |
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 | |
Mayfaif Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11637 W North Ave, Wauwatosa, WI 53226 Phone: 414-259-0665 |