Dr Daniel E Tache, DMD,FAGD | |
2626 N 76th St, Wauwatosa, WI 53213-1137 | |
(414) 476-9400 | |
(414) 774-7794 |
Full Name | Dr Daniel E Tache |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 50 Years |
Location | 2626 N 76th St, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174669634 | NPI | - | NPPES |
33755200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5089-15 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lmg Inc | 6305851676 | 4 |
Entity Name | Lmg Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134235427 PECOS PAC ID: 6305851676 Enrollment ID: O20060208000608 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel E Tache, DMD,FAGD 2626 N 76th St, Wauwatosa, WI 53213-1137 Ph: (414) 476-9400 | Dr Daniel E Tache, DMD,FAGD 2626 N 76th St, Wauwatosa, WI 53213-1137 Ph: (414) 476-9400 |
Dr. Julia Elizabeth Kennedy, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 11819 W Diane Dr, Wauwatosa, WI 53226 Phone: 262-894-6230 | |
Kenneth Paul Ferentchak, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1011 N Mayfair Rd, Suite 303, Wauwatosa, WI 53226 Phone: 414-771-4480 Fax: 414-771-8862 | |
Dr. Christopher N. Jordan, D.D.S., M.S.D., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11711 W Burleigh St, Wauwatosa, WI 53222 Phone: 414-771-2345 Fax: 414-777-3839 | |
Dr. David Robert Laste, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11637 W North Ave, Wauwatosa, WI 53226 Phone: 414-259-0665 Fax: 414-259-1057 | |
Dr. Erik Daniel Deyoung, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6100 W State St, Apt. 636, Wauwatosa, WI 53213 Phone: 404-819-1282 | |
Dr. Richard V. Knoff, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226 Phone: 414-258-1500 | |
Dr. Nidhi Mahajan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11711 W Burleigh St, Wauwatosa, WI 53222 Phone: 262-524-9000 |