| Wisconsin Endodontic Group, S.c. | |
|
2600 N. Mayfair Rd. Ste 240 Wauwatosa WI 53226 | |
| (414) 258-1500 | |
| (414) 258-9353 |
| Full Name | Wisconsin Endodontic Group, S.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2600 N. Mayfair Rd., Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Anne Marie Hansen Fergus (ENDODONTIST/OWNER) |
| Authorized Official Contact | 4142581500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Endodontic Group, S.c. 2600 N. Mayfair Rd. Ste 240 Wauwatosa WI 53226 Ph: (414) 258-1500 | Wisconsin Endodontic Group, S.c. 2600 N. Mayfair Rd. Ste 240 Wauwatosa WI 53226 Ph: (414) 258-1500 |
| NPI Number | 1942450457 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942450457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 5002 (Iowa) | 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 |