Joshua Hassan, DMD | |
2100 Miller Park Way, West Milwaukee, WI 53219-1641 | |
(908) 812-2220 | |
Not Available |
Full Name | Joshua Hassan |
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Gender | Male |
Speciality | Dentist - Periodontics |
Location | 2100 Miller Park Way, West Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184084055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 319.020434 (Illinois) | Secondary |
122300000X | Dentist | 019.031082 (Illinois) | Secondary |
1223P0300X | Dentist - Periodontics | 1001750-15 (Wisconsin) | Primary |
Entity Name | Dental Associates Ltd Of Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518266998 PECOS PAC ID: 0244402220 Enrollment ID: O20111018000066 |
Mailing Address | Practice Location Address |
---|---|
Joshua Hassan, DMD 3012 W Jarvis Ave, Chicago, IL 60645-1112 Ph: (908) 812-2220 | Joshua Hassan, DMD 2100 Miller Park Way, West Milwaukee, WI 53219-1641 Ph: (908) 812-2220 |
Dr. Ami Inoue, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2100 Miller Park Way, West Milwaukee, WI 53219 Phone: 414-645-4540 | |
Ajit V Pillai, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2100 Miller Park Way, West Milwaukee, WI 53219 Phone: 414-645-4540 | |
Dr. Patrick R Kaul, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2100 Miller Park Way, West Milwaukee, WI 53219 Phone: 414-645-4540 | |
Laura Elizabeth Goodell, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2100 Miller Park Way, West Milwaukee, WI 53219 Phone: 262-436-3363 | |
Dr. Wendy Zhu, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2100 Miller Park Way, West Milwaukee, WI 53219 Phone: 414-645-4540 | |
Dr. Inas Murrar, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2100 Miller Park Way, West Milwaukee, WI 53219 Phone: 414-645-4540 |