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Options PPO 30

Participating Providers

Wisconsin

June 2019

Welcome toUnitedHealthcare’s

Dental PlanPlease take a moment to review this provider directory.We want to make sure you are satisfied with your dental benefits.If you have any questions, please contact the Member Services Department.

Your dental directoryWe have included an extensive directory ofnetwork dentists located throughout thecommunity. The dentist information that can befound within this directory includes:

• Name, location and phone number• Foreign languages spoken, if any• Wheelchair accessibility• Licensure, certification and other regulatory

considerations• Whether or not the office is accepting new

patients

A list of general dentists and specialists isincluded in this directory. You do not need areferral from a general dentist to receive carefrom a specialist.

Should you have questions, please call thetoll-free number listed in your enrollmentinformation. We offer language assistanceservices if you require translations or needassistance receiving care in languages otherthan English. Contact our Member ServicesDepartment for translation support.

Meeting our quality standardsYou can have confidence knowing you arereceiving care from dentists who have beencarefully selected for participation in our network.All network dentists undergo a rigorous reviewand credentialing process prior to being acceptedinto our network, which includes the followingmajor elements:

• Dentist education, training and experience• Malpractice history

This process confirms that each dentist has therequired credentials to participate in the network.

We cannot guarantee the continuing participationof dentists currently listed in this directory. Whena provider no longer participates in the network,or has changed participation status, additionalcosts may be incurred. We recommend that youcall the Member Services Department to verifythat a dentist is currently participating in thenetwork prior to seeking care.

American Disabilities Act Notice: In accordance with the requirements of the federal Americans withDisabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), we provide full andequal access to covered services and do not discriminate against qualified individuals with disabilitieson the basis of disability in its services, programs, or activities.Copies of our network provider directory are available at no cost by calling the Member ServicesDepartment.If you believe there is an error in this directory, please call us at 1-800-445-9090 or email [email protected] information contained in this document is accurate as of the first of the month. You may also visitthe www.myuhc.com for current information at any time.

INTRO - 1

We do not treat members differently because of sex, age, race, color, disability or national origin.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to the Civil Rights Coordinator. Online: [email protected] Mail: Civil Rights Coordinator. UnitedHealthcare Civil Rights Grievance. P.O. Box 30608 Salt Lake City, UTAH 84130

You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your identification card, Monday through Friday, 7 a.m. to 10 p.m. CST.

You can also file a complaint with the U.S. Dept. of Health and Human Services. Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD) Mail: U.S. Dept. of Health and Human Services. 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free phone number listed on your identification card, Monday through Friday, 7 a.m. to 10 p.m. CST.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Please call the toll-free phone number listed on your identification card.

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación.

(Chinese)

Ý: N u quý v nói ti ng Vi t (Vietnamese), quý v s c cung c p d ch v tr giúp v ngôn ng mi n phí. Vui lòng g i s i n tho i mi n phí m t sau th h i viên c a quý v .

: (Korean) . .

PAALALA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card.

Russian)

)Arabic(

ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefisye sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nimewo gratis ki sou kat idantifikasyon w.

ATTENTION : Si vous parlez français (French), des services d’aide linguistique vous sont proposés gratuitement. Veuillez appeler le numéro de téléphone gratuit figurant sur votre carte d’identification.

polsku (Polish)

ATENÇÃO: Se você fala português (Portuguese), contate o serviço de assistência de idiomas gratuito. Ligue gratuitamente para o número encontrado no seu cartão de identificação.

ATTENZIONE: in caso la lingua parlata sia l’italiano (Italian), sono disponibili servizi di assistenza linguistica gratuiti. Per favore chiamate il numero di telefono verde indicato sulla vostra tessera identificativa.

ACHTUNG: Falls Sie Deutsch (German) sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Bitte rufen Sie die gebührenfreie Rufnummer auf der Rückseite Ihres Mitgliedsausweises an.

(Japanese)

)Farsi(

(Hindi)

CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov hu rau tus xov tooj hu deb dawb uas teev muaj nyob rau ntawm koj daim yuaj cim qhia tus kheej.

(Khmer)

PAKDAAR: Nu saritaem ti Ilocano (Ilocano), ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Maidawat nga awagan iti toll-free a numero ti telepono nga nakalista ayan iti identification card mo.

DÍÍ BAA'ÁKONÍNÍZIN: Diné (Navajo)

biká'ígíí bee hodíilnih.

OGOW: Haddii aad ku hadasho Soomaali (Somali), adeegyada taageerada luqadda, oo bilaash ah, ayaad heli kartaa. Fadlan wac lambarka telefonka khadka bilaashka ee ku yaalla kaarkaaga aqoonsiga.

BARRON COUNTY

Chetek

SATHER, Nik E.Nik E Sather Dds(715) 925-4545Prov. No.: 000000693541118 Douglas StChetek, WI 54728Language: EnglishGender: MaleNPI: 1942339353License: 5581-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 925-4546Accepts New Patients: YHospital Affiliation: N/A*

Rice Lake

CARLTON, Kyle E.Arrowhead Family Dental(715) 736-3500Prov. No.: 0000120684075 West Ave �Rice Lake, WI 54868Language: EnglishGender: MaleNPI: 1164781209License: 687815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 736-2140Accepts New Patients: YHospital Affiliation: N/A*

DELF, Jonathon E.Arrowhead Family Dental(715) 736-3500Prov. No.: 0000003841875 West Ave �Rice Lake, WI 54868Language: EnglishGender: MaleNPI: 1851422737License: 5966-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 736-2140Accepts New Patients: YHospital Affiliation: N/A*

BARRON COUNTY (Cont.)

Rice Lake (Cont.)GIBSON, Michael D.Midwest Dental(715) 234-1073Prov. No.: 0000127198852901 Pioneer AveRice Lake, WI 54868Language: EnglishGender: MaleNPI: 1114090131License: 2855-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 736-4242Accepts New Patients: YHospital Affiliation: N/A*

HARUNANI, Mohamed F.Midwest Dental(715) 234-1073Prov. No.: 0000130020482901 Pioneer AveRice Lake, WI 54868Language: EnglishGender: MaleNPI: 1720205560License: 581615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 736-4242Accepts New Patients: YHospital Affiliation: N/A*

JENSEN, Nathan J.Midwest Dental(715) 234-1073Prov. No.: 0000128976592901 Pioneer AveRice Lake, WI 54868Language: EnglishGender: MaleNPI: 1003229618License: 1001264License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 736-4242Accepts New Patients: YHospital Affiliation: N/A*


Rice Lake (Cont.)KAUFMAN, Robert J.Midwest Dental(715) 234-1073Prov. No.: 0000130479462901 Pioneer AveRice Lake, WI 54868Language: English, HebrewGender: MaleNPI: 1437138906License: 1001762-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 736-4242Accepts New Patients: YHospital Affiliation: N/A*

MOOS, Jeffrey W.Midwest Dental(715) 234-1073Prov. No.: 0000124339532901 Pioneer AveRice Lake, WI 54868Language: EnglishGender: MaleNPI: 1992827174License: 313915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 736-4242Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Midwest Dental(715) 234-1073Prov. No.: 0000128420962901 Pioneer AveRice Lake, WI 54868Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 736-4242Accepts New Patients: YHospital Affiliation: N/A*

BAYFIELD COUNTY

Bayfield

BROWN, Patrick D.Red Cliff Band of LakeSuperior Chippewa Indians(715) 779-3096Prov. No.: 00001205743736745 Aiken RdBayfield, WI 54814Language: EnglishGender: MaleNPI: 1386734242License: 5659License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 779-3502Accepts New Patients: NHospital Affiliation: N/A*

HEYDARI, EllieRed Cliff Band of LakeSuperior Chippewa Indians(715) 779-3096Prov. No.: 00001246702436745 Aiken RdBayfield, WI 54814Language: EnglishGender: FemaleNPI: 1518137652License: 7252-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 779-3502Accepts New Patients: YHospital Affiliation: N/A*

BROWN COUNTY

Ashwaubenon

AGNES, Alison A.Aspen Dental(920) 785-5130Prov. No.: 0000129068482388 S Oneida StAshwaubenon, WI 54304Language: EnglishGender: FemaleNPI: 1881187862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

1GENERAL DENTISTS

� Wheelchair Accessible*N/A = Not Applicable

BROWN COUNTY (Cont.)

Ashwaubenon (Cont.)BALL, Amanda A.Aspen Dental(920) 785-5130Prov. No.: 0000127201182388 S Oneida StAshwaubenon, WI 54304Language: EnglishGender: FemaleNPI: 1356691745License: 696815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

REYES, Michael J.Aspen Dental(920) 785-5130Prov. No.: 0000120731482388 S Oneida StAshwaubenon, WI 54304Language: EnglishGender: MaleNPI: 1538561907License: 100100715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

SCHULZ, ChadAspen Dental(920) 785-5130Prov. No.: 0000121805012388 S Oneida StAshwaubenon, WI 54304Language: EnglishGender: MaleNPI: 1972985869License: 100115715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Bellevue

BAILEY, Tamara L.Dental Care of Bellevue(920) 857-2092Prov. No.: 0000121487502014 Lime Kiln Rd Ste 300Bellevue, WI 54311Language: EnglishGender: FemaleNPI: 1073536579License: 5785-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 857-2091Accepts New Patients: NHospital Affiliation: N/A*

BUCHANAN, Edward A.Dental Care of Bellevue(920) 857-2092Prov. No.: 0000120502292014 Lime Kiln Rd Ste 300Bellevue, WI 54311Language: EnglishGender: MaleNPI: 1790869790License: 4345-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 857-2091Accepts New Patients: NHospital Affiliation: N/A*

CHONG, EuiyoungDental Care of Bellevue(920) 857-2092Prov. No.: 0000129053862014 Lime Kiln Rd Ste 300Bellevue, WI 54311Language: EnglishGender: MaleNPI: 1831677244License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (920) 857-2091Accepts New Patients: YHospital Affiliation: N/A*


Bellevue (Cont.)FERRARO, Joseph C.Dental Care of Bellevue(920) 857-2092Prov. No.: 0000121207752014 Lime Kiln Rd Ste 300Bellevue, WI 54311Language: EnglishGender: MaleNPI: 1477583870License: 3312-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 857-2091Accepts New Patients: NHospital Affiliation: N/A*

MARTINSON, Laura A.Dental Care of Bellevue(920) 857-2092Prov. No.: 0000121553052014 Lime Kiln Rd Ste 300Bellevue, WI 54311Language: EnglishGender: FemaleNPI: 1326420696License: 1001146-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 857-2091Accepts New Patients: NHospital Affiliation: N/A*

De Pere

DORSCH, CaseyMeadowbrook Smiles(920) 434-3900Prov. No.: 0000128335261926 Dickinson RdDe Pere, WI 54115Language: EnglishGender: FemaleNPI: 1942730858License: 1001594License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 434-6980Accepts New Patients: YHospital Affiliation: N/A*


De Pere (Cont.)VAN MILLER, Rebecca P.Meadowbrook Smiles(920) 434-3900Prov. No.: 0000126387851926 Dickinson RdDe Pere, WI 54115Language: EnglishGender: FemaleNPI: 1053534289License: 549715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 434-6980Accepts New Patients: YHospital Affiliation: N/A*

Green Bay

ABBAS, KomailDental Associates Ltd(920) 431-0345Prov. No.: 000013255305430 Main StGreen Bay, WI 54301Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

ABDOLISERESHKI, HoomanFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000127881851931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1619369279License: 1001284License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

2 GENERAL DENTISTS (Continued)



Green Bay (Cont.)ALSHEHABI, HassanDental Associates Ltd(920) 431-0345Prov. No.: 000012895030430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1063906188License: 1001880License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

ARIZA, RichardDental Associates Ltd(920) 431-0345Prov. No.: 000012989040430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1902309685License: 1001944-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

AUGEND, ArsalanFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000122495181931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1053778803License: 1001259License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: NHospital Affiliation: N/A*


Green Bay (Cont.)AZAD, Koushan H.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000122495201931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1154533180License: 1001044License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: NHospital Affiliation: N/A*

BALLINGER, Laureen M.Midwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000120810151833 University AveGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1669538484License: 5201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*

BEHRENS, LeroyMidwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000130369871833 University AveGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1144323171License: 5001897-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)BHIMJI, Sanaa N.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124966581931 Main StGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1083165351License: 100144015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BIMARTHI, SavitaFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124534591931 Main StGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1588017925License: 1001397-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BUSHONG, Aaron J.Ns Libal St Llc(920) 339-9013Prov. No.: 0000015582332805 Libal St Ste B �Green Bay, WI 54301Language: EnglishGender: MaleNPI: 1871813329License: 652415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 339-5741Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)CHAUHAN, ShalabhFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125294821931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1497290043License: 1001466-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

CHEN, XiaoqiDental Associates Ltd(920) 431-0345Prov. No.: 000013027675430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1053801944License: 1001911License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

CHONG, EuiyoungRlj Dental - Green Bay(920) 494-0554Prov. No.: 000013219737709 S Oneida StGreen Bay, WI 54304Language: EnglishGender: MaleNPI: 1831677244License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

3GENERAL DENTISTS (Continued)



Green Bay (Cont.)CRISTI, IvonaDental Associates Ltd(920) 431-0345Prov. No.: 000012474161430 Main StGreen Bay, WI 54301Language: English, French,RomanianGender: FemaleNPI: 1619125333License: 100143015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

DACOSTA, Michelle N.Aids Resource Center ofWisconsin Inc(920) 437-7400Prov. No.: 000012317303445 S Adams StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1104963784License: 4727-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 437-1040Accepts New Patients: YHospital Affiliation: N/A*

DEGRAVE, David J.Mdc Bellevue Llc(920) 468-0504Prov. No.: 0000130616522040 Central CtGreen Bay, WI 54311Language: EnglishGender: MaleNPI: 1518981711License: 2833License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 468-1316Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)DETARI, Brian D.Midwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000129455351833 University AveGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1619950573License: 100126615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*

DICHRAFF, William M.Midwest Dental(920) 465-4902Prov. No.: 0000001947661595 Allouez AveGreen Bay, WI 54311Language: EnglishGender: MaleNPI: 1609905058License: 2770-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DORSCH, CaseyMeadowbrook Smiles(920) 434-3900Prov. No.: 0000128302332550 Glendale AveGreen Bay, WI 54313Language: EnglishGender: FemaleNPI: 1942730858License: 1001594License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)FARRELL, JulieMidwest Dental-Green BayWest(612) 518-6543Prov. No.: 000000242862844 Willard Dr Ste AGreen Bay, WI 54304Language: EnglishGender: FemaleNPI: 1225167653License: 5558-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

FLINK, Dara T.David Thompson Dds(920) 494-9541Prov. No.: 0000003726931711 Shawano Ave �Green Bay, WI 54303Language: EnglishGender: MaleNPI: 1356415749License: 5480-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 494-2026Accepts New Patients: YHospital Affiliation: N/A*

FORCIOLI, Laurent J.Dental Associates Ltd(920) 431-0345Prov. No.: 000012847424430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1083146823License: 1001545-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)GESKER, RichardDental Associates Ltd(920) 431-0345Prov. No.: 000012852088430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1326026527License: 1001775-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

GINSBERG, Darrell R.Midwest Dental Green BayNortheast(920) 499-9131Prov. No.: 0000130491671415 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1730101890License: 7279-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 499-4580Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(920) 278-3115Prov. No.: 0000120329352593 Development Dr Ste 280Green Bay, WI 54311Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 278-3121Accepts New Patients: YHospital Affiliation: N/A*




Green Bay (Cont.)GONZALES, LaurelMidwest Dental(920) 465-4902Prov. No.: 0000120945251595 Allouez AveGreen Bay, WI 54311Language: EnglishGender: FemaleNPI: 1710221635License: 7017-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(920) 278-3115Prov. No.: 0000071946172593 Development Dr Ste 280Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 278-3121Accepts New Patients: YHospital Affiliation: N/A*

GRAF, Zachary A.David Thompson Dds(920) 494-9541Prov. No.: 0000000839141711 Shawano Ave �Green Bay, WI 54303Language: EnglishGender: MaleNPI: 1316072093License: 5170-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 494-2026Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)GREATENS, Scott R.Aids Resource Center ofWisconsin(920) 437-7400Prov. No.: 000012543199445 S Adams StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1932226503License: 388615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-1040Accepts New Patients: YHospital Affiliation: N/A*

GROH, KatelynMidwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000130379631833 University AveGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1235620535License: 1001797License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*

GUNASEKERA II, JosephMidwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000128713281833 University AveGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1295226835License: 1001804-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)GUPTA, PratikFamilia Dental West GreenBay(888) 988-4066Prov. No.: 0000126090012280 W Mason StGreen Bay, WI 54303Language: English, IndianGender: MaleNPI: 1912427766License: 1001615-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

GUPTA, PratikFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000126090451931 Main StGreen Bay, WI 54302Language: English, IndianGender: MaleNPI: 1912427766License: 1001615-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

HOFFMANN, Edward W.Midwest Dental Green BayNortheast(920) 499-9131Prov. No.: 0000131007301415 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 499-4580Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)HOLDREDGE, Daryl G.Daryl Holdredge Dds(920) 437-7188Prov. No.: 0000002110011231 S Webster AveGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1619991916License: 4401015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-3972Accepts New Patients: YHospital Affiliation: N/A*

HOLSTEEN, DanielMidwest Dental Green BayNortheast(920) 499-9131Prov. No.: 0000130235481415 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1912991779License: 1001972License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 499-4580Accepts New Patients: YHospital Affiliation: N/A*

HOLUBOWICZ, RichardForward Dental(920) 278-3115Prov. No.: 0000000760002593 Development Dr Ste 280Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1306902713License: 3351-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 278-3121Accepts New Patients: YHospital Affiliation: N/A*




Green Bay (Cont.)HUSSAIN, SadafDental Associates Ltd(920) 431-0345Prov. No.: 000012927108430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1679095061License: 1001713-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

KANG, Tae H.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124966691931 Main StGreen Bay, WI 54302Language: Chinese, English,Korean, SpanishGender: MaleNPI: 1255711693License: 100143415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KAUR, SimerjeetFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000122495231931 Main StGreen Bay, WI 54302Language: English, Hindi,PunjabiGender: FemaleNPI: 1629448170License: 1001211License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: NHospital Affiliation: N/A*


Green Bay (Cont.)KAWAMURA, Janna K.Familia Dental West GreenBay(888) 988-4066Prov. No.: 0000126047922280 W Mason StGreen Bay, WI 54303Language: EnglishGender: FemaleNPI: 1629522891License: 1001451-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KHAN, Mujtaba B.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125022841931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1093260366License: 1001454License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KHAN, Mujtaba B.Familia Dental West GreenBay(888) 988-4066Prov. No.: 0000125798712280 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1093260366License: 1001454License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)KISS, MihaiFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125618741931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1700334265License: 1001480License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KOCH, Adam D.Aids Resource Center ofWisconsin(920) 437-7400Prov. No.: 000013071224445 S Adams StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1710415542License: 1001522License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-1040Accepts New Patients: YHospital Affiliation: N/A*

LANG, Jeffrey R.Rlj Dental Sc(920) 494-0554Prov. No.: 000000264046709 S Oneida St Ste 6 �Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1467533224License: 5069-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 593-2635Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)LAWS, Christopher P.Mdc Bellevue Llc(920) 468-0504Prov. No.: 0000001306352040 Central CtGreen Bay, WI 54311Language: EnglishGender: MaleNPI: 1770532830License: 500166015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 468-1316Accepts New Patients: YHospital Affiliation: N/A*

LIN, KevinFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125066311931 Main StGreen Bay, WI 54302Language: English, Farsi,SpanishGender: MaleNPI: 1639626955License: 100144115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

LIN, KevinFamilia Dental West GreenBay(888) 988-4066Prov. No.: 0000125798742280 W Mason StGreen Bay, WI 54303Language: English, Farsi,SpanishGender: MaleNPI: 1639626955License: 100144115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Green Bay (Cont.)LIN, ShawnFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125023211931 Main StGreen Bay, WI 54302Language: Chinese, English,MandarinGender: MaleNPI: 1003360272License: 1001444License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

LIN, ShawnFamilia Dental West GreenBay(888) 988-4066Prov. No.: 0000125798752280 W Mason StGreen Bay, WI 54303Language: Chinese, English,MandarinGender: MaleNPI: 1003360272License: 1001444License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MAHMOOD, Ola R.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124362131931 Main StGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1437501301License: 1001386License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)MALHOTRA, AnupamFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124605651931 Main StGreen Bay, WI 54302Language: English, HindiGender: FemaleNPI: 1780036376License: 1001393License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MALINOWSKI, Mark A.Dental Associates Ltd(920) 431-0345Prov. No.: 000012120802430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1912288911License: 67915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

MARAKA, PatrickDavid Thompson Dds(920) 494-9541Prov. No.: 0000120870821711 Shawano Ave �Green Bay, WI 54303Language: EnglishGender: MaleNPI: 1972764553License: 6244015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 494-2026Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)MATTILA, Nicholas R.Mdc Bellevue Llc(920) 468-0504Prov. No.: 0000123108522040 Central CtGreen Bay, WI 54311Language: EnglishGender: MaleNPI: 1700105806License: 7014-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 468-1316Accepts New Patients: YHospital Affiliation: N/A*

MAZUCHOWSKI, Raymond J.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125137821931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1255875944License: 1001463-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MAZUCHOWSKI, Raymond J.Familia Dental West GreenBay(888) 988-4066Prov. No.: 0000125798732280 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1255875944License: 1001463-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)METZLER, Alexander D.Midwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000121655221833 University AveGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1538543319License: 1001175License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*

MEYER, Ellen R.Dental Associates Ltd(920) 431-0345Prov. No.: 000012148650430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1164801239License: 1001074License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

MILO, Paul M.Wisconsin Dental Group ScDba Forward Dental(920) 278-3115Prov. No.: 0000132612132593 Development Dr Ste 280Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1184795767License: 1001679-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 278-3121Accepts New Patients: YHospital Affiliation: N/A*




Green Bay (Cont.)MIYAMASU, PatrickFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000122495271931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1992933915License: 100113License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: NHospital Affiliation: N/A*

MUNOZ, Juan S.Rlj Dental Sc(920) 731-1213Prov. No.: 000012622590709 S Oneida St Ste 6Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1114453024License: 1001621-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 593-2635Accepts New Patients: YHospital Affiliation: N/A*

NASTASE, DorinaFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000122495281931 Main StGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1154707388License: 1001194License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: NHospital Affiliation: N/A*


Green Bay (Cont.)OPHEIM, Kara L.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000127880321931 Main StGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1306257134License: 1000957-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.Dental Associates Ltd(920) 431-0345Prov. No.: 000013176541430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

PARK, AidanFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125023531931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1639626450License: 100142115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)PARK, SunjooFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124364811931 Main StGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1467801258License: 1001347License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PASS, David A.Midwest Dental-Green Bay(920) 497-1302Prov. No.: 000012920045844 Willard Dr Ste AGreen Bay, WI 54304Language: EnglishGender: MaleNPI: 1275013641License: 1001908License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 497-1702Accepts New Patients: YHospital Affiliation: N/A*

PETTY, John A.Rlj Dental Sc(920) 731-1213Prov. No.: 000013109934709 S Oneida St Ste 6Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 593-2635Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)PRUST, RebeccaAids Resource Center ofWisconsin Inc(920) 437-7400Prov. No.: 000012108903445 S Adams StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1609905645License: 565815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-1040Accepts New Patients: YHospital Affiliation: N/A*

RANGNEKAR, Ishan R.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124587222280 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1336597863License: 100129315License Type: DBP DentistBoard Certified: Not ReportedEmail: info@familiadental .comFax: (847) 496-4850Accepts New Patients: NHospital Affiliation: N/A*

REET KAUR, RaunaqFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124611691931 Main StGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1932552189License: 1001400License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Green Bay (Cont.)REHORST, Mark K.Aids Resource Center ofWisconsin Inc(920) 437-7400Prov. No.: 000012591524445 S Adams StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1457620031License: 680715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-1040Accepts New Patients: YHospital Affiliation: N/A*

RICKARD, Paul V.Dental Associates Ltd(920) 431-0345Prov. No.: 000012794117430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

SAQA, Rami M.Midwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000130158881833 University AveGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1770922429License: 1001495-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)SCHNEISS, Beau J.Ns of Libal St Llc(920) 339-9013Prov. No.: 0000126172742805 Libal St Ste BGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1588111330License: 1001410License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHUSTER, Frederica H.Midwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000129400441833 University AveGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1639179245License: 4411-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*

SEDIQZAD, FarashtaDental Associates Ltd(920) 431-0345Prov. No.: 000012117477430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1841681525License: 100104315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)SEHRA, PamelaDental Associates Ltd(920) 431-0345Prov. No.: 000012620592430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1922528157License: 1001627-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

SENGER, Daniel L.Midwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000129455881833 University AveGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1710090741License: 500149115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*

SNYDER, Robert L.Robert L Snyder Dds(920) 465-9887Prov. No.: 0000001287733071 Voyager Dr Ste BGreen Bay, WI 54311Language: EnglishGender: MaleNPI: 1861525461License: 3115-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 465-0188Accepts New Patients: NHospital Affiliation: N/A*


Green Bay (Cont.)SPAIN, Daniel L.Midwest Dental Green BayNortheast(920) 437-7444Prov. No.: 0000129082851833 University AveGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1871799874License: 100126215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-7868Accepts New Patients: YHospital Affiliation: N/A*

SPAIN, Daniel L.Midwest Dental Green BayNortheast(920) 499-9131Prov. No.: 0000132210261415 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1871799874License: 100126215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 499-4580Accepts New Patients: YHospital Affiliation: N/A*

STOJANOVIC, ChristinaDental Associates Ltd(920) 431-0345Prov. No.: 000012608480430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1871022236License: 1001605-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*




Green Bay (Cont.)THOMPSON, David C.David Thompson Dds(920) 494-9541Prov. No.: 0000000839131711 Shawano Ave �Green Bay, WI 54303Language: EnglishGender: MaleNPI: 1306971098License: 4105-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 494-2026Accepts New Patients: YHospital Affiliation: N/A*

THOMPSON, Emily E.David Thompson Dds(920) 494-9541Prov. No.: 0000124560981711 Shawano Ave �Green Bay, WI 54303Language: EnglishGender: FemaleNPI: 1396129284License: 100117815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 494-2026Accepts New Patients: YHospital Affiliation: N/A*

TRAN, RichardFamilia Dental West GreenBay(888) 988-4066Prov. No.: 0000128103652280 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1295244374License: 1001687-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)TRAN, RichardFamilia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000128105041931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1295244374License: 1001687-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

VAN DYKE, Robert J.Midwest Dental-Green Bay(920) 497-1302Prov. No.: 000012112126844 Willard Dr Ste AGreen Bay, WI 54304Language: EnglishGender: MaleNPI: 1982621496License: 5000719License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 497-1702Accepts New Patients: YHospital Affiliation: N/A*

VAN MILLER, Rebecca P.Meadowbrook Smiles(920) 434-3900Prov. No.: 0000124522542550 Glendale AveGreen Bay, WI 54313Language: EnglishGender: FemaleNPI: 1053534289License: 549715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)WAGNER, Matthew R.Family Dentistry Sc(920) 432-7230Prov. No.: 0000129002132830 Curry Ct Ste 1Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1578052866License: 1001719License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 432-6948Accepts New Patients: YHospital Affiliation: N/A*

WAGNER, RobertFamily Dentistry Sc(920) 432-7230Prov. No.: 0000002657812830 Curry Ct Ste 1Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1780638585License: 355215License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 432-6948Accepts New Patients: YHospital Affiliation: N/A*

WARD, James T.Dental Associates Ltd(920) 431-0345Prov. No.: 000012926487430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)WHITE, Mark A.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000124262701931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1114376225License: 1001296License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WORTH, Chris M.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125611511931 Main StGreen Bay, WI 54302Language: EnglishGender: MaleNPI: 1184852998License: 1001462License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WOZNIAK, Jerzy E.Aids Resource Center ofWisconsin Inc(920) 437-7400Prov. No.: 000012589783445 S Adams StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1063628006License: 100120415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-1040Accepts New Patients: YHospital Affiliation: N/A*




Green Bay (Cont.)WU, Chun-TingFamilia Dental West GreenBay(888) 988-4066Prov. No.: 0000128398652280 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1952824963License: 1001652-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ZHU, JiulinDental Associates Ltd(920) 431-0345Prov. No.: 000012879266430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1235621756License: 1001842License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

Howard

ABBAS, KomailDental Associates-Howard(920) 965-5525Prov. No.: 0000132553082340 Duck Creek PkwyHoward, WI 54303Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*


Howard (Cont.)BROWN, NatalieDental Associates-Howard(920) 965-5525Prov. No.: 0000130368532340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: FemaleNPI: 1053896969License: 1001943License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

DESAI, SajanDental Associates-Howard(920) 965-5525Prov. No.: 0000129540292340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1447743455License: 1001920License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

HURLEY, Amanda L.Dental Associates-Howard(920) 965-5525Prov. No.: 0000126364302340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: FemaleNPI: 1215466826License: 1001593-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*


Howard (Cont.)MANOS, MarcDental Associates-Howard(920) 965-5525Prov. No.: 0000129395682340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1851772701License: 1001106License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

MANSOUR, Mohammed A.Dental Associates-Howard(920) 965-5525Prov. No.: 0000126049062340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

MIYAMOTO, Courtney R.Dental Associates-Howard(920) 965-5525Prov. No.: 0000130684822340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: FemaleNPI: 1891271987License: 1001957License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*


Howard (Cont.)MURRAR, InasDental Associates-Howard(920) 965-5525Prov. No.: 0000125889292340 Duck Creek PkwyHoward, WI 54303Language: Arabic, EnglishGender: FemaleNPI: 1699192252License: 7240-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.Dental Associates-Howard(920) 965-5525Prov. No.: 0000131765522340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

RAKOWSKY, Nina A.Dental Associates-Howard(920) 965-5525Prov. No.: 0000129589122340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: FemaleNPI: 1962980102License: 1001905-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*




Howard (Cont.)RODRIGUEZ, Carlos M.Dental Associates-Howard(920) 965-5525Prov. No.: 0000129842062340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1932602182License: 1001937License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

YANG, Kwon C.Dental Associates-Howard(920) 965-5525Prov. No.: 0000129440252340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1801387501License: 1001872License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

Oneida

DWYER, Robert A.Oneida Dental Clinic(920) 869-2711Prov. No.: 000000345847525 Airport DrOneida, WI 54155Language: EnglishGender: MaleNPI: 1730294075License: 226815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oneida (Cont.)FRECHETTE, LisaOneida Dental Clinic(920) 869-2711Prov. No.: 000012321506525 Airport DrOneida, WI 54155Language: EnglishGender: FemaleNPI: 1285717538License: 6036-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

NGUYEN, ThaoOneida Dental Clinic(920) 869-2711Prov. No.: 000012831080525 Airport DrOneida, WI 54155Language: EnglishGender: FemaleNPI: 1275971921License: 7093-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

POLZIN, Edward S.Oneida Dental Clinic(920) 869-2711Prov. No.: 000000324580525 Airport DrOneida, WI 54155Language: EnglishGender: MaleNPI: 1255363156License: 585315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oneida (Cont.)WHITE, YvonneOneida Tribe of Indians ofWisconsin(920) 869-4857Prov. No.: 000012089991525 Airport DrOneida, WI 54155Language: EnglishGender: FemaleNPI: 1891192803License: 100100515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Suamico

BURGE, Vickie L.Midwest Dental(920) 471-4988Prov. No.: 0000131609732352 Lineville RdSuamico, WI 54313Language: EnglishGender: FemaleNPI: 1194947333License: 1001245-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HAGEN, Beth A.Midwest Dental(920) 471-4988Prov. No.: 0000125584042352 Lineville RdSuamico, WI 54313Language: EnglishGender: FemaleNPI: 1912456815License: 1001445-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Suamico (Cont.)VAN PAY, Rebecca L.Midwest Dental(920) 471-4988Prov. No.: 0000120796342352 Lineville RdSuamico, WI 54313Language: EnglishGender: FemaleNPI: 1851689244License: 667915License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Wrightstown

LAWS, Christopher P.Mdc Bellevue Llc(920) 468-0504Prov. No.: 000012368105118 High StWrightstown, WI 54180Language: EnglishGender: MaleNPI: 1770532830License: 500166015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 468-1316Accepts New Patients: YHospital Affiliation: N/A*

BUFFALO COUNTY

Mondovi

MOOS, Jeffrey W.Midwest Dental Care(715) 926-4237Prov. No.: 000000042931132 Monroe St Ste BMondovi, WI 54755Language: EnglishGender: MaleNPI: 1992827174License: 313915License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 926-5488Accepts New Patients: YHospital Affiliation: N/A*



BUFFALO COUNTY (Cont.)

Mondovi (Cont.)YOUNG, David A.Midwest Dental Care(715) 926-4237Prov. No.: 000000042930132 Monroe St Ste BMondovi, WI 54755Language: EnglishGender: MaleNPI: 1568582633License: 5001385-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 926-5488Accepts New Patients: YHospital Affiliation: N/A*

BURNETT COUNTY

Grantsburg

KAEFER, Gary L.Edp of Wisconsin Sc(715) 463-2882Prov. No.: 000000115677302 S Pine StGrantsburg, WI 54840Language: EnglishGender: MaleNPI: 1619935848License: 5001913-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 463-2885Accepts New Patients: YHospital Affiliation: N/A*

Webster

KAEFER, Gary L.Kaefer Dental(715) 866-4204Prov. No.: 0000002842377425 Main St WWebster, WI 54893Language: EnglishGender: MaleNPI: 1619935848License: 5001913-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 866-4205Accepts New Patients: YHospital Affiliation: N/A*

CALUMET COUNTY

Chilton

BHALLA, DivyaMidwest Dental Evansville(920) 849-9667Prov. No.: 0000132552791110 E Chestnut StChilton, WI 53014Language: EnglishGender: FemaleNPI: 1457768921License: 1001275License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 849-7737Accepts New Patients: YHospital Affiliation: N/A*

SAQA, Rami M.Midwest Dental Evansville(920) 849-9667Prov. No.: 0000126860031110 E Chestnut StChilton, WI 53014Language: EnglishGender: MaleNPI: 1770922429License: 1001495-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 849-7737Accepts New Patients: YHospital Affiliation: N/A*

SIERRA, Jose A.Midwest Dental Evansville(920) 849-9667Prov. No.: 0000132392111110 E Chestnut StChilton, WI 53014Language: English, SpanishGender: MaleNPI: 1386095503License: 1001424-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 849-7737Accepts New Patients: YHospital Affiliation: N/A*

CALUMET COUNTY (Cont.)

Chilton (Cont.)WALLANDER, Constance A.Midwest Dental Evansville(920) 849-9667Prov. No.: 0000124643801110 E Chestnut StChilton, WI 53014Language: EnglishGender: FemaleNPI: 1063722643License: 6626-015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 849-7737Accepts New Patients: YHospital Affiliation: N/A*

Sherwood

KAUFMAN, Robert J.Midwest Dental(920) 989-1103Prov. No.: 000012926753N275 Military RdSherwood, WI 54169Language: English, HebrewGender: MaleNPI: 1437138906License: 1001762-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 989-1102Accepts New Patients: YHospital Affiliation: N/A*

LANGEBERG, Allen D.Midwest Dental(920) 989-1103Prov. No.: 000012602062N275 Military RdSherwood, WI 54169Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 989-1102Accepts New Patients: YHospital Affiliation: N/A*

CALUMET COUNTY (Cont.)

Sherwood (Cont.)PIERCE, Lewis H.Midwest Dental(920) 989-1103Prov. No.: 000012574495N275 Military RdSherwood, WI 54169Language: EnglishGender: MaleNPI: 1902170145License: 100106015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 989-1102Accepts New Patients: YHospital Affiliation: N/A*

WOLFINGER, Megan C.Midwest Dental(920) 989-1103Prov. No.: 000012609232N275 Military RdSherwood, WI 54169Language: EnglishGender: FemaleNPI: 1730613555License: 1001568-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 989-1102Accepts New Patients: YHospital Affiliation: N/A*

CHIPPEWA COUNTY

Cadott

NODING, Kristina E.Dental Health Center(715) 289-4922Prov. No.: 000012600263418 N Main St �Cadott, WI 54727Language: EnglishGender: FemaleNPI: 1740639624License: 1001510-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 289-3657Accepts New Patients: YHospital Affiliation: N/A*



CHIPPEWA COUNTY (Cont.)

Cadott (Cont.)ROTT, Robin L.Dental Health Center(715) 289-4922Prov. No.: 000012638643418 N Main StCadott, WI 54727Language: EnglishGender: FemaleNPI: 1003287228License: 100121915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 289-3657Accepts New Patients: YHospital Affiliation: N/A*

TESSENDORF, Erin C.Dental Health Center(715) 289-4922Prov. No.: 000012070422418 N Main StCadott, WI 54727Language: EnglishGender: FemaleNPI: 1912263716License: 6897-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 289-3657Accepts New Patients: NHospital Affiliation: N/A*

TESSENDORF, John N.Dental Health Center(715) 289-4922Prov. No.: 000012070419418 N Main StCadott, WI 54727Language: EnglishGender: MaleNPI: 1891992483License: 2245-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 289-3657Accepts New Patients: NHospital Affiliation: N/A*


Cadott (Cont.)TESSENDORF, Thomas J.Dental Health Center(715) 289-4922Prov. No.: 000012070421418 N Main StCadott, WI 54727Language: EnglishGender: MaleNPI: 1992064661License: 6880-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 289-3657Accepts New Patients: NHospital Affiliation: N/A*

WOODWARD, Christine A.Dental Health Center(715) 289-4922Prov. No.: 000012442917418 N Main StCadott, WI 54727Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 289-3657Accepts New Patients: YHospital Affiliation: N/A*

Chippewa Falls

BECHARD, Kristine K.Chippewa Dental Llc(715) 723-7175Prov. No.: 000012613739405 W Prairie View RdChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1245408095License: 4490-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Chippewa Falls (Cont.)BRADLE, MarkMidwest Dental(715) 723-0366Prov. No.: 000012866174777 E Park AveChippewa Falls, WI 54729Language: EnglishGender: MaleNPI: 1225410590License: 1001475License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 723-4635Accepts New Patients: YHospital Affiliation: N/A*

CHRISTMAN, Rena J.River Valley Pediatric DentalSpecialist(715) 726-1060Prov. No.: 000012041756425 W Prairie View RdChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1689923898License: 693615License Type: DBP DentistBoard Certified: YEmail: [email protected]: (715) 726-1066Accepts New Patients: YHospital Affiliation: N/A*

GERDIN, LaurenRichard A Sweeney Dds(715) 723-5581Prov. No.: 000012823121134 W Columbia StChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1992234447License: 1001530-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Chippewa Falls (Cont.)GERDIN, LaurenChippewa Dental Llc(715) 723-7175Prov. No.: 000012944743405 W Prairie View RdChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1992234447License: 1001530-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GUNDERSON, AndreaWinn Family Dentistry Llc(715) 723-0287Prov. No.: 0000129125932849 County Highway I �Chippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1164915658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (715) 723-2091Accepts New Patients: YHospital Affiliation: N/A*

HEHLI SALONEK, Beth A.Northpark Dental(715) 720-9125Prov. No.: 000000056543235 W Prairie View Rd Ste1Chippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1023184348License: 535415License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*




Chippewa Falls (Cont.)KARTJE, Karyn T.Northpark Dental(715) 720-9125Prov. No.: 000012696943235 W Prairie View Rd Ste1Chippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1255487443License: 1001698-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LANGEBERG, Allen D.Midwest Dental(715) 723-0366Prov. No.: 000012841660777 E Park AveChippewa Falls, WI 54729Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 723-4635Accepts New Patients: YHospital Affiliation: N/A*

LOOK, John R.Winn Family Dentistry Llc(715) 723-0287Prov. No.: 0000125230732849 County Highway I �Chippewa Falls, WI 54729Language: EnglishGender: MaleNPI: 1780677583License: 5001567License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 723-2091Accepts New Patients: NHospital Affiliation: N/A*


Chippewa Falls (Cont.)PODOLL, Sara M.Northpark Dental(715) 720-9125Prov. No.: 000010215277235 W Prairie View Rd Ste1Chippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1073810115License: 6653-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROTT, Robin L.Erin Tessendorf(715) 723-7339Prov. No.: 00001263864538 E Grand AveChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1003287228License: 100121915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TESSENDORF, Erin C.Erin Tessendorf(715) 723-7339Prov. No.: 00000195761338 E Grand AveChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1912263716License: 6897-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Chippewa Falls (Cont.)TESSENDORF, John N.Erin Tessendorf(715) 723-7339Prov. No.: 00001040392038 E Grand AveChippewa Falls, WI 54729Language: EnglishGender: MaleNPI: 1891992483License: 2245-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TESSENDORF, Thomas J.Erin Tessendorf(715) 723-7339Prov. No.: 00001040520538 E Grand AveChippewa Falls, WI 54729Language: EnglishGender: MaleNPI: 1992064661License: 6880-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TRAYLOR, Gwendolyn A.Midwest Dental(715) 723-0366Prov. No.: 000012884170777 E Park AveChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1841453743License: 1001803License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 723-4635Accepts New Patients: YHospital Affiliation: N/A*


Stanley

ROTT, Robin L.Dhc Sc Stanley(715) 644-5111Prov. No.: 000012631691642 Emery St �Stanley, WI 54768Language: EnglishGender: FemaleNPI: 1003287228License: 100121915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 644-5032Accepts New Patients: YHospital Affiliation: N/A*

TESSENDORF, Erin C.Dhc Sc Stanley(715) 644-5111Prov. No.: 000006661581642 Emery StStanley, WI 54768Language: EnglishGender: FemaleNPI: 1912263716License: 6897-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 644-5032Accepts New Patients: YHospital Affiliation: N/A*

TESSENDORF, John N.Dhc Sc Stanley(715) 644-5111Prov. No.: 000010403884642 Emery StStanley, WI 54768Language: EnglishGender: MaleNPI: 1891992483License: 2245-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 644-5032Accepts New Patients: YHospital Affiliation: N/A*




Stanley (Cont.)TESSENDORF, Thomas J.Dhc Sc Stanley(715) 644-5111Prov. No.: 000010405208642 Emery StStanley, WI 54768Language: EnglishGender: MaleNPI: 1992064661License: 6880-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 644-5032Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Dhc Sc Stanley(715) 644-5111Prov. No.: 000012442920642 Emery StStanley, WI 54768Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 644-5032Accepts New Patients: YHospital Affiliation: N/A*

CLARK COUNTY

Neillsville

BRUCE, Paul E.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122559912510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1710936133License: 4890-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CLARK COUNTY (Cont.)

Neillsville (Cont.)GIBSON, Michael D.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122642562510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1114090131License: 2855-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GODAR, Dennis E.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122603732510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1336186477License: 3412-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MCEWEN, Kevin D.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000123151562510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1245277383License: 4975-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Neillsville (Cont.)MCNEELY, Andrea J.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122645972510 Black River RdNeillsville, WI 54456Language: EnglishGender: FemaleNPI: 1265633978License: 6126-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MUELLER, Rick M.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122605182510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1891732947License: 3982-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RAASCH, Christopher T.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122609802510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1437108511License: 4159-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Neillsville (Cont.)RODRIGUEZ QUESA, Jose A.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000124875742510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1245277276License: 5012-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SUAREZ, CynthiaDental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122614862510 Black River RdNeillsville, WI 54456Language: EnglishGender: FemaleNPI: 1962451781License: 5022-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000124781192510 Black River RdNeillsville, WI 54456Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Thorp

ROTT, Robin L.Dhc Sc Thorp(715) 669-5620Prov. No.: 000012638644202 W Prospect St �Thorp, WI 54771Language: EnglishGender: FemaleNPI: 1003287228License: 100121915License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TESSENDORF, John N.Dhc Sc Thorp(715) 669-5620Prov. No.: 000010403881202 W Prospect St �Thorp, WI 54771Language: EnglishGender: MaleNPI: 1891992483License: 2245-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Dhc Sc Thorp(715) 669-5620Prov. No.: 000012442919202 W Prospect St �Thorp, WI 54771Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

COLUMBIA COUNTY

Lodi

CRANE, JoelLodi Valley Dental Llp(608) 592-4398Prov. No.: 000000354713105 Dale DrLodi, WI 53555Language: EnglishGender: MaleNPI: 1740389238License: 5895015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DOW, StevenLodi Valley Dental Llp(608) 592-4398Prov. No.: 000012900118105 Dale DrLodi, WI 53555Language: EnglishGender: MaleNPI: 1487034294License: 1001121License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SORENSEN, Gene R.Lodi Valley Dental Llp(608) 592-4398Prov. No.: 000000134353105 Dale DrLodi, WI 53555Language: EnglishGender: MaleNPI: 1093814659License: 5001592License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

COLUMBIA COUNTY (Cont.)

Pardeeville

BOTTS, Anna F.Midwest Dental(608) 429-3175Prov. No.: 000012194350403 W Chestnut StPardeeville, WI 53954Language: EnglishGender: FemaleNPI: 1609009661License: Not ReportedLicense Type: Not ReportedBoard Certified: NEmail:Fax: (608) 429-3776Accepts New Patients: YHospital Affiliation: N/A*

Portage

CHATTERJEE, SoumenMidwest Dental(608) 742-5573Prov. No.: 0000127074982570 New Pinery RdPortage, WI 53901Language: EnglishGender: MaleNPI: 1568973030License: 1001697-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 742-3466Accepts New Patients: YHospital Affiliation: N/A*

SWEENEY, Patrick F.Midwest Dental(608) 742-5573Prov. No.: 0000120929962570 New Pinery RdPortage, WI 53901Language: EnglishGender: MaleNPI: 1053483214License: 5001363License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 742-3466Accepts New Patients: YHospital Affiliation: N/A*


Wisconsin Dells

CLEMENS, David L.Dells Dental(608) 254-2345Prov. No.: 000000257004245 W Munroe AveWisconsin Dells, WI 53965Language: EnglishGender: MaleNPI: 1710984745License: 5198License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 254-6460Accepts New Patients: YHospital Affiliation: N/A*

CLEMENS, Nicole M.Dells Dental(608) 254-2345Prov. No.: 000000277708245 W Munroe AveWisconsin Dells, WI 53965Language: EnglishGender: FemaleNPI: 1063478667License: 5961License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 254-6460Accepts New Patients: YHospital Affiliation: N/A*

GROSS, Jeremy W.Dells Dental(608) 254-2345Prov. No.: 000000306845245 W Munroe AveWisconsin Dells, WI 53965Language: EnglishGender: MaleNPI: 1619932811License: 5921License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 254-6460Accepts New Patients: YHospital Affiliation: N/A*




Wisconsin Dells (Cont.)LONGE, William G.Midwest Dental(608) 253-4701Prov. No.: 000012618627910 Iowa AveWisconsin Dells, WI 53965Language: EnglishGender: MaleNPI: 1013136381License: 2717-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 254-2245Accepts New Patients: YHospital Affiliation: N/A*

MOSS, Robert E.Midwest Dental(608) 253-4701Prov. No.: 000012718419910 Iowa AveWisconsin Dells, WI 53965Language: EnglishGender: MaleNPI: 1366589665License: 1001701-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 254-2245Accepts New Patients: YHospital Affiliation: N/A*

SCOTT, Virginia G.Midwest Dental(608) 253-4701Prov. No.: 000012559631910 Iowa AveWisconsin Dells, WI 53965Language: EnglishGender: FemaleNPI: 1649390063License: 4505-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 254-2245Accepts New Patients: YHospital Affiliation: N/A*

CRAWFORD COUNTY

Prairie Du Chien

HANSON, WaynePdc Dentistry Sc(608) 326-8458Prov. No.: 000000332310110 S Ohio St �Prairie Du Chien, WI 53821Language: EnglishGender: MaleNPI: 1801803622License: 500180515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 328-4067Accepts New Patients: YHospital Affiliation: N/A*

JOHNSON, Laura E.Pdc Dentistry Sc(608) 326-8458Prov. No.: 000012396715110 S Ohio St �Prairie Du Chien, WI 53821Language: EnglishGender: FemaleNPI: 1518353770License: 1001142-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 328-4067Accepts New Patients: YHospital Affiliation: N/A*

POMERENING, Bruce L.Bruce L Pomerening Dds Sc(608) 326-2332Prov. No.: 000000278737109 S Beaumont RdPrairie Du Chien, WI 53821Language: EnglishGender: MaleNPI: 1437239209License: 313415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 326-2332Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY

Belleville

YAKOWICZ, Ryan J.Shea Mccue(608) 424-3222Prov. No.: 000012069651120 Greenway Cross CtBelleville, WI 53508Language: EnglishGender: MaleNPI: 1780992040License: 6606License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 424-3244Accepts New Patients: YHospital Affiliation: N/A*

Cross Plains

MCCALLUM, Zachary S.Midwest Dental Cross Plains(608) 371-5863Prov. No.: 0000128949122525 Main StCross Plains, WI 53528Language: EnglishGender: MaleNPI: 1528267911License: 6315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 349-5532Accepts New Patients: YHospital Affiliation: N/A*

Deerfield

BAFUS, Paige T.Midwest Dental Deerfield(608) 467-4828Prov. No.: 00001224115310 Liberty St Ste 104Deerfield, WI 53531Language: EnglishGender: FemaleNPI: 1447319496License: 100119215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 467-4828Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Deerfield (Cont.)SAQA, Rami M.Midwest Dental Deerfield(608) 467-4828Prov. No.: 00001323443410 Liberty St Ste 104Deerfield, WI 53531Language: EnglishGender: MaleNPI: 1770922429License: 1001495-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 467-4828Accepts New Patients: YHospital Affiliation: N/A*

Fitchburg

BHARATKUMAR, AditiFamily Dental Care ofFitchburg(608) 286-1466Prov. No.: 0000124809505401 Caddis Bnd Unit BFitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1164830014License: 1000962-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BRAAKSMA, Christabelle E.First Choice Dental Group(608) 273-6500Prov. No.: 0000126836805950 Seminole Centre CtFitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1669814455License: 1001037-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Fitchburg (Cont.)HOFFMANN, Edward W.Midwest Dental - Fitchburg(608) 276-8800Prov. No.: 0000130798172960 Triverton Pike Dr StE 104Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 276-1327Accepts New Patients: YHospital Affiliation: N/A*

JACOBY, Jason R.Preferred Oral Health Llc(608) 237-6080Prov. No.: 0000125875716317 Mckee Rd Ste 500Fitchburg, WI 53719Language: EnglishGender: MaleNPI: 1376953000License: 1001237-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

JOHNSON, Scott R.Dental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000000542692971 Chapel Valley Rd Ste100Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1336187574License: 3394License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Fitchburg (Cont.)LONGE, William G.Midwest Dental - Fitchburg(608) 276-8800Prov. No.: 0000127807822960 Triverton Pike Dr StE 104Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1013136381License: 2717-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 276-1327Accepts New Patients: YHospital Affiliation: N/A*

LOVCIK, TedDental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000001477482971 Chapel Valley Rd Ste100Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1750335931License: 4251-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MCCLAIN, Kelleen Y.Dental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000000542682971 Chapel Valley Rd Ste100Fitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1215981444License: 3462-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Fitchburg (Cont.)MOON, Ronald J.Family Dental Care ofFitchburg(608) 286-1466Prov. No.: 0000130558425401 Caddis Bnd Unit BFitchburg, WI 53711Language: EnglishGender: MaleNPI: 1821125238License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MUTHUKURI, Geetha R.First Choice Dental Group(608) 273-6500Prov. No.: 0000125875925950 Seminole Centre CtFitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1528346533License: 6655-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

O’BRIEN, Daniel R.Dental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000001673812971 Chapel Valley Rd Ste100Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1962440123License: 4008-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Fitchburg (Cont.)OLDRIDGE, MeganMidwest Dental - Fitchburg(608) 276-8800Prov. No.: 0000128264582960 Triverton Pike Dr StE 104Fitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1699141721License: 1001754License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 276-1327Accepts New Patients: YHospital Affiliation: N/A*

ROZENDAAL, LindsayDental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000124840612971 Chapel Valley Rd Ste100Fitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1225320641License: 6929-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SAQA, Rami M.Midwest Dental - Fitchburg(608) 276-8800Prov. No.: 0000127772012960 Triverton Pike Dr StE 104Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1770922429License: 1001495-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 276-1327Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Fitchburg (Cont.)SCHUSTER, Frederica H.Midwest Dental - Fitchburg(608) 276-8800Prov. No.: 0000001331252960 Triverton Pike DrFitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1639179245License: 4411-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 276-1327Accepts New Patients: YHospital Affiliation: N/A*

SWEENEY, Brian S.Dental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000003682212971 Chapel Valley Rd Ste100Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1710999404License: 6184-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, Walter L.First Choice Dental Group(608) 273-6500Prov. No.: 0000124533885950 Seminole Centre CtFitchburg, WI 53711Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Fitchburg (Cont.)VEERMAN, Brett L.Dental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000000542702971 Chapel Valley Rd Ste100Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1104852938License: 3795License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WAGNER, Elizabeth A.Dental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000128927112971 Chapel Valley RdFitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1588740492License: 492015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ZHANG, Vivienne C.Preffered Oral Health Llc(608) 237-6080Prov. No.: 0000124963806317 Mckee Rd Ste 500Fitchburg, WI 53719Language: EnglishGender: FemaleNPI: 1245649649License: 1001239-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison

ABDOLISERESHKI, HoomanFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000127904743003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1619369279License: 1001284License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ABELL, Megan L.Dental Health Associates ofMadison Ltd(608) 833-1889Prov. No.: 0000004607867017 Old Sauk RdMadison, WI 53717Language: EnglishGender: FemaleNPI: 1346477361License: 6397-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ABELL, Megan L.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122583802713 Marshall CtMadison, WI 53705Language: EnglishGender: FemaleNPI: 1346477361License: 6397-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)AUGEND, ArsalanFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012540629706 S Gammon RdMadison, WI 53719Language: EnglishGender: MaleNPI: 1053778803License: 1001259License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

AZAD, Koushan H.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000122495353003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1154533180License: 1001044License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BERRYMAN, John M.Midwest Dental(608) 249-6808Prov. No.: 0000002818764793 Hayes RdMadison, WI 53704Language: EnglishGender: MaleNPI: 1114056561License: 5929-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 249-6962Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)BHIMJI, Sanaa N.Familia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012544815706 S Gammon RdMadison, WI 53719Language: EnglishGender: FemaleNPI: 1083165351License: 100144015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BIMARTHI, SavitaFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000124444903003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1588017925License: 1001397-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BJORK, JacobDental Health Associates ofMadison Ltd(608) 833-2578Prov. No.: 0000003683127001 Old Sauk Rd Fl 1Madison, WI 53717Language: EnglishGender: MaleNPI: 1902904352License: 6054-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)BJORK, JacobDental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122614512713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1902904352License: 6054-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BOWEN, Brittany E.Associated Dentists(608) 238-7112Prov. No.: 000012159641749 University RowMadison, WI 53705Language: EnglishGender: FemaleNPI: 1043691439License: 1001119License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BRAAKSMA, Christabelle E.First Choice Dental Group(608) 256-0671Prov. No.: 0000126839231050 Regent StMadison, WI 53715Language: EnglishGender: FemaleNPI: 1669814455License: 1001037-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 256-6077Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)BRADLEY, Robert D.First Choice Dental Group(608) 833-1100Prov. No.: 000000113922138 Junction Rd �Madison, WI 53717Language: EnglishGender: MaleNPI: 1902803638License: 4801-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*

BREWER, Jason A.Midwest Dental(608) 231-1718Prov. No.: 0000002440583230 University Ave Ste 11Madison, WI 53705Language: English, SpanishGender: MaleNPI: 1346252434License: 5890-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 231-1390Accepts New Patients: YHospital Affiliation: N/A*

BRUMM, CatherineDental Health Associates ofMadison Ltd(608) 246-2555Prov. No.: 00001231448949 N Walbridge AveMadison, WI 53714Language: EnglishGender: FemaleNPI: 1679968598License: 1000995License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)BUDDE, MargaretAffiliated Dentist Sc(608) 274-9077Prov. No.: 0000129731445601 Odana Rd �Madison, WI 53719Language: EnglishGender: Not ReportedNPI:License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (608) 274-9103Accepts New Patients: YHospital Affiliation: N/A*

BUI, Duc T.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000126150773003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1154842342License: 1001634-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BUI, Duc T.Familia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012615156706 S Gammon RdMadison, WI 53719Language: EnglishGender: FemaleNPI: 1154842342License: 1001634-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)CASTEEL, DavidMidwest Dental(608) 231-2863Prov. No.: 0000128747375402 Mineral Point Rd Ste1Madison, WI 53705Language: EnglishGender: MaleNPI: 1588155683License: 1001812License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (906) 265-4052Accepts New Patients: YHospital Affiliation: N/A*

CHANG, YoungchiAspen Dental(608) 616-5897Prov. No.: 0000128981254602 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1164929816License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

CHAUHAN, ShalabhFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000125294813003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1497290043License: 1001466-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)CHRISTIANSON, NicholasDental Health Associates ofMadison Ltd(608) 833-2578Prov. No.: 0000120610607001 Old Sauk RdMadison, WI 53717Language: EnglishGender: MaleNPI: 1487095873License: 7122-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CHRISTIANSON, NicholasDental Health Associates ofMadison Ltd(608) 256-0499Prov. No.: 00001211279044 E Mifflin St Ste 204Madison, WI 53703Language: EnglishGender: MaleNPI: 1487095873License: 7122-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

COOPER, Jeffrey S.First Choice Dental Group(608) 256-0671Prov. No.: 0000124677201050 Regent StMadison, WI 53715Language: EnglishGender: MaleNPI: 1972664811License: 411915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 256-6077Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)COOPER, Jeffrey S.First Choice Dental Group(608) 251-3535Prov. No.: 000012467724621 S Park StMadison, WI 53715Language: EnglishGender: MaleNPI: 1972664811License: 411915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

COOPER, Jeffrey S.First Choice Dental Group(608) 249-9141Prov. No.: 0000124677451809 East Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1972664811License: 411915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DENDINGER, Susan E.Susan Dendinger(608) 274-9077Prov. No.: 0000126190865601 Odana Rd �Madison, WI 53719Language: EnglishGender: FemaleNPI: 1538697008License: 1001528-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 274-9103Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)DONNELLY, TerranceDental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122579242713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1033154075License: 2733-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ELLIOTT, PatrickDental Health Associates ofMadison Ltd(608) 246-2555Prov. No.: 00000022438549 N Walbridge AveMadison, WI 53714Language: EnglishGender: MaleNPI: 1679525976License: 5394-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ELLIOTT, PatrickDental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122552362713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1679525976License: 5394-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)FARD, Rambod S.Dental Health Associates Ltd(608) 833-1889Prov. No.: 0000003493837017 Old Sauk RdMadison, WI 53717Language: EnglishGender: MaleNPI: 1164473484License: 5840License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(608) 244-6888Prov. No.: 0000007103541734 Thierer RdMadison, WI 53704Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(608) 238-4787Prov. No.: 0000007103562 Science CtMadison, WI 53711Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 238-5811Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)FERRARO, Joseph C.Four Lakes Family Dental(608) 819-8344Prov. No.: 0000122481576038 Gemini DrMadison, WI 53718Language: EnglishGender: MaleNPI: 1477583870License: 3312-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

FICK, Brian T.First Choice Dental Group(608) 251-3535Prov. No.: 000000322157621 S Park StMadison, WI 53715Language: EnglishGender: MaleNPI: 1235250424License: 4523-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GALLMAN, Nicole M.First Choice Dental Group(608) 256-0671Prov. No.: 0000120828541050 Regent StMadison, WI 53715Language: EnglishGender: FemaleNPI: 1235498056License: 6925-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 256-6077Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)GALLMAN, Nicole M.First Choice Dental Group(608) 833-1100Prov. No.: 000012082856138 Junction Rd �Madison, WI 53717Language: EnglishGender: FemaleNPI: 1235498056License: 6925-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*

GALLMAN, Nicole M.First Choice Dental Group(608) 249-9141Prov. No.: 0000120828571809 East Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1235498056License: 6925-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(608) 244-6888Prov. No.: 0000120329321734 Thierer RdMadison, WI 53704Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)GOMEZ, PaulaForward Dental(608) 238-4787Prov. No.: 0000120329342 Science CtMadison, WI 53711Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 238-5811Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(608) 244-6888Prov. No.: 0000102135421734 Thierer RdMadison, WI 53704Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(608) 238-4787Prov. No.: 0000102136912 Science CtMadison, WI 53711Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (608) 238-5811Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)GREATENS, Scott R.Aids Resource Center ofWisconsin(608) 252-6540Prov. No.: 000012567474600 Williamson St Ste HMadison, WI 53703Language: EnglishGender: MaleNPI: 1932226503License: 388615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 252-6540Accepts New Patients: YHospital Affiliation: N/A*

GRODE, MichaelDental Health Associates ofMadison Ltd(608) 833-2578Prov. No.: 0000002876857001 Old Sauk Rd Fl 1Madison, WI 53717Language: EnglishGender: MaleNPI: 1942257480License: 4571-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GRODE, MichaelDental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122666522713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1942257480License: 4571-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)GUSTAVSON, MarkAffiliated Dentists Sc(608) 274-9077Prov. No.: 0000003252635601 Odana Rd �Madison, WI 53719Language: EnglishGender: MaleNPI: 1558685297License: 5968015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 274-9103Accepts New Patients: YHospital Affiliation: N/A*

HAAG, ChristineFirst Choice Dental Group(608) 249-9141Prov. No.: 000000255704258 Corporate Dr Ste 201Madison, WI 53714Language: EnglishGender: FemaleNPI: 1902928872License: 5428-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

HARUNANI, Mohamed F.Midwest Dental(608) 833-3557Prov. No.: 0000121033657001 Tree LnMadison, WI 53717Language: EnglishGender: MaleNPI: 1720205560License: 581615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 833-5919Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)HENRY, Marilyn C.Wisconsin Dental Group(608) 244-6888Prov. No.: 0000129025311734 Thierer RdMadison, WI 53704Language: EnglishGender: FemaleNPI: 1861844912License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

HENRY, Marilyn C.Wisconsin Dental Group Sc(608) 238-4787Prov. No.: 0000129025322 Science Ct Ste 1Madison, WI 53711Language: EnglishGender: FemaleNPI: 1861844912License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HERRSCHER, KathleenForward Dental(608) 244-6888Prov. No.: 0000006621311734 Thierer RdMadison, WI 53704Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)HERRSCHER, KathleenForward Dental(608) 238-4787Prov. No.: 0000006621332 Science CtMadison, WI 53711Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 238-5811Accepts New Patients: YHospital Affiliation: N/A*

HOFFMANN, Edward W.Aspen Dental(608) 616-5897Prov. No.: 0000125130884602 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

HOPP, Brian P.Dental Health Associates ofMadison Ltd(608) 833-1889Prov. No.: 0000001971647017 Old Sauk RdMadison, WI 53717Language: EnglishGender: MaleNPI: 1679527170License: 4882License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)HOPP, Brian P.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122555262713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1679527170License: 4882License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HWANG, SukhyunMidwest Dental(608) 833-3557Prov. No.: 0000131317937001 Tree LnMadison, WI 53717Language: EnglishGender: MaleNPI: 1053727933License: 1001206License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 833-5919Accepts New Patients: YHospital Affiliation: N/A*

JANG, Yeonjae K.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000129428953003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1841770344License: 1001917License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)JHAWAR, ApurvFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012776305706 S Gammon RdMadison, WI 53719Language: EnglishGender: MaleNPI: 1821505322License: 1001731-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

JHAWAR, ApurvFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000127879433003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1821505322License: 1001731-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

JOHNSON, Scott R.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000123152012713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1336187574License: 3394License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)KANG, Tae Ho H.Familia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012544818706 S Gammon RdMadison, WI 53719Language: Chinese, English,Korean, SpanishGender: MaleNPI: 1255711693License: 100143415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KAUR, SimerjeetFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000122495383003 E Washington AveMadison, WI 53704Language: English, Hindi,PunjabiGender: FemaleNPI: 1629448170License: 1001211License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KHAN, Mujtaba B.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000125022833003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1093260366License: 1001454License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)KILLIAN, KentDental Health Associates ofMadison Ltd(608) 246-2555Prov. No.: 00000019279349 N Walbridge AveMadison, WI 53714Language: EnglishGender: MaleNPI: 1295773539License: 4124-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KILLIAN, KentDental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000123149152713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1295773539License: 4124-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KIM, JinyoungFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012615367706 S Gammon RdMadison, WI 53719Language: EnglishGender: FemaleNPI: 1942721931License: 1001641-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)KIM, SoheeAspen Dental(608) 616-5897Prov. No.: 0000126164494602 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1316467517License: 1001610-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

KIM, SylviaFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000127175843003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1225540230License: 1001718-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KISS, MihaiFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000125618733003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1700334265License: 1001480License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)KROLL, NathanDental Health Associates ofMadison Ltd(608) 246-2555Prov. No.: 00001257776849 N Walbridge AveMadison, WI 53714Language: EnglishGender: MaleNPI: 1295170371License: 7282-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LIN, KevinFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012544799706 S Gammon RdMadison, WI 53719Language: English, Farsi,SpanishGender: MaleNPI: 1639626955License: 100144115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

LIN, ShawnFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012544800706 S Gammon RdMadison, WI 53719Language: Chinese, English,MandarinGender: MaleNPI: 1003360272License: 1001444License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)LOVCIK, TedDental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122571412713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1750335931License: 4251-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MAHMOOD, Ola R.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000124428323003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1437501301License: 1001386License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MALHOTRA, AnupamFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012544805706 S Gammon RdMadison, WI 53719Language: English, HindiGender: FemaleNPI: 1780036376License: 1001393License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)MCCLAIN, Kelleen Y.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122596092713 Marshall CtMadison, WI 53705Language: EnglishGender: FemaleNPI: 1215981444License: 3462-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MCCONVILLE, Timothy F.Dental Health Associates ofMadison Ltd(608) 833-1889Prov. No.: 0000000542727017 Old Sauk RdMadison, WI 53717Language: EnglishGender: MaleNPI: 1366480535License: 3066License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MCCONVILLE, Timothy F.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000123152512713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1366480535License: 3066License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)MCCORMICK, Stuart J.McCormick Family DentalCare Sc(608) 233-5351Prov. No.: 0000002135275610 Medical Cir �Madison, WI 53719Language: EnglishGender: MaleNPI: 1215185095License: 3143-15License Type: DBP DentistBoard Certified: NEmail:Fax: (408) 238-6777Accepts New Patients: YHospital Affiliation: N/A*

MCCORMICK, Stuart J.Applewhite Dental Wi Sc(608) 233-5351Prov. No.: 0000124390065610 Medical Cir Ste 10Madison, WI 53719Language: EnglishGender: MaleNPI: 1215185095License: 3143-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 238-6777Accepts New Patients: YHospital Affiliation: N/A*

MELBY, JessicaDental Health Associates ofMadison Ltd(608) 833-2578Prov. No.: 0000120406197001 Old Sauk RdMadison, WI 53717Language: EnglishGender: FemaleNPI: 1801236864License: 7215-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)MELLO, JuneFirst Choice Dental Group(608) 833-1100Prov. No.: 000007192712138 Junction Rd �Madison, WI 53717Language: EnglishGender: FemaleNPI: 1770606220License: 3947-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*

MILLER, Joann M.Affiliated Dentists Sc(608) 274-9077Prov. No.: A000000177175601 Odana Rd �Madison, WI 53719Language: EnglishGender: FemaleNPI: 1225352883License: 5647License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 274-9103Accepts New Patients: YHospital Affiliation: N/A*

MIYAMASU, PatrickFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012548325706 S Gammon RdMadison, WI 53719Language: EnglishGender: MaleNPI: 1992933915License: 100113License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)MURRAY, Stephen C.First Choice Dental Group(608) 249-9141Prov. No.: 0000126309331809 East Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1770588766License: 1001533-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

MUTHUKURI, Geetha R.First Choice Dental Group(608) 256-0671Prov. No.: 0000125868551050 Regent StMadison, WI 53715Language: EnglishGender: FemaleNPI: 1528346533License: 6655-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 256-6077Accepts New Patients: YHospital Affiliation: N/A*

MUTHUKURI, Geetha R.First Choice Dental Group(608) 251-3535Prov. No.: 000012586857621 S Park StMadison, WI 53715Language: EnglishGender: FemaleNPI: 1528346533License: 6655-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)MUTHUKURI, Geetha R.First Choice Dental Group(608) 249-9141Prov. No.: 0000125875671809 East Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1528346533License: 6655-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

NASTASE, DorinaFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000122495413003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1154707388License: 1001194License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

NILES, David C.First Choice Dental Group(608) 249-9141Prov. No.: 0000121270391809 East Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1215051529License: 7163-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)OBOIKOVITZ, Matthew J.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000121651802713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1376802058License: 7131-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

O’BRIEN, Daniel R.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000124992192713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1962440123License: 4008-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

OPHEIM, Kara L.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000127897673003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1306257134License: 1000957-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)PARK, AidanFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012548324706 S Gammon RdMadison, WI 53719Language: EnglishGender: MaleNPI: 1639626450License: 100142115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PARK, SunjooFamilia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012548321706 S Gammon RdMadison, WI 53719Language: EnglishGender: FemaleNPI: 1467801258License: 1001347License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PLECAS, DaliborFour Lakes Family Dental(608) 819-8344Prov. No.: 0000126452946038 Gemini DrMadison, WI 53718Language: EnglishGender: MaleNPI: 1871941708License: 1001529License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)PORTER, Brian D.Affiliated Dentists Sc(608) 274-9077Prov. No.: 0000065115015601 Odana Rd �Madison, WI 53719Language: EnglishGender: MaleNPI: 1154587434License: 6266-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 274-9103Accepts New Patients: YHospital Affiliation: N/A*

RAMBOD, FardFard Rambod Dds(608) 833-1889Prov. No.: 0000002710067017 Old Sauk RdMadison, WI 53717Language: EnglishGender: Not ReportedNPI:License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (608) 662-7414Accepts New Patients: YHospital Affiliation: N/A*

RANGNEKAR, Ishan R.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000124229213003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1336597863License: 100129315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)REET KAUR, RaunaqFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000124610923003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1932552189License: 1001400License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

REHORST, Mark K.Aids Resource Center ofWisconsin(608) 252-6540Prov. No.: 000012591640600 Williamson St Ste HMadison, WI 53703Language: EnglishGender: MaleNPI: 1457620031License: 680715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 252-6540Accepts New Patients: YHospital Affiliation: N/A*

ROGGENSACK, Matthew D.Dental Health Associates ofMadison Ltd(608) 833-2578Prov. No.: 0000001949727001 Old Sauk Rd Fl 1Madison, WI 53717Language: EnglishGender: MaleNPI: 1366480550License: 4914-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)ROGGENSACK, Matthew D.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122665872713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1366480550License: 4914-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROZENDAAL, LindsayDental Health Associates ofMadison Ltd(608) 833-2578Prov. No.: 0000122613137001 Old Sauk Rd Fl 1Madison, WI 53717Language: EnglishGender: FemaleNPI: 1225320641License: 6929-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHRAMM, TimothyFirst Choice Dental Group(608) 833-1100Prov. No.: 000012617336138 Junction Rd �Madison, WI 53717Language: EnglishGender: MaleNPI: 1881115954License: 1001626-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)SCHUSTER, Frederica H.Midwest Dental(608) 231-2863Prov. No.: 0000128317625402 Mineral Point Rd Ste1Madison, WI 53705Language: EnglishGender: FemaleNPI: 1639179245License: 4411-15License Type: DBP DentistBoard Certified: NEmail:Fax: (906) 265-4052Accepts New Patients: YHospital Affiliation: N/A*

SCHWITTERS, ChadwickDental Health Associates ofMadison Ltd(608) 246-2555Prov. No.: 00000032925649 N Walbridge AveMadison, WI 53714Language: EnglishGender: MaleNPI: 1295771434License: 5927-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHWITTERS, ChadwickDental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000123137062713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1295771434License: 5927-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)SCHWITTERS, ChadwickDental Health Associates ofMadison Ltd(608) 284-5401Prov. No.: 0000130948265002 Amcenter DrMadison, WI 53718Language: EnglishGender: MaleNPI: 1295771434License: 5927-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHRESTHA, AvigyaMidwest Dental(608) 231-1718Prov. No.: 0000130583643230 University Ave Ste 11Madison, WI 53705Language: EnglishGender: FemaleNPI: 1245719087License: 1001912-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 231-1390Accepts New Patients: YHospital Affiliation: N/A*

SIDO, AbdulcadirForward Dental(608) 238-4787Prov. No.: 0000124431272 Science CtMadison, WI 53711Language: EnglishGender: MaleNPI: 1093859225License: 5001559-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 238-5811Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)SIDO, AbdulcadirForward Dental(608) 244-6888Prov. No.: 0000124431781734 Thierer RdMadison, WI 53704Language: EnglishGender: MaleNPI: 1093859225License: 5001559-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

SKIBBA, Allen J.Dental Health Associates ofMadison Ltd(608) 246-2555Prov. No.: 00000027758749 N Walbridge AveMadison, WI 53714Language: EnglishGender: MaleNPI: 1043250152License: 4469-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SKIBBA, Allen J.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122614022713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1043250152License: 4469-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)SMILEY, Thomas W.Wisconsin Dental Group ScDba Forward Dental(608) 231-2006Prov. No.: 0000126044392 Science CtMadison, WI 53711Language: EnglishGender: MaleNPI: 1982636163License: 2353-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 238-5811Accepts New Patients: YHospital Affiliation: N/A*

SOBCZAK, Gregory J.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000123138892713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1598709032License: 3339-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SPIEWAK, Michael J.Midwest Dental(608) 231-1718Prov. No.: 0000001920723230 University Ave Ste 11Madison, WI 53705Language: EnglishGender: MaleNPI: 1427187897License: 490315License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 231-1390Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)SQUIRES, Sarah A.First Choice Dental Group(608) 249-9141Prov. No.: 000006965135258 Corporate Dr Ste 201Madison, WI 53714Language: EnglishGender: FemaleNPI: 1467688267License: 6351-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

STACEY, ErikStacey Dental Sc(608) 222-7511Prov. No.: 000000339169858 Jupiter DrMadison, WI 53718Language: EnglishGender: MaleNPI: 1558443259License: 5226-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 222-9900Accepts New Patients: YHospital Affiliation: N/A*

STACEY, John C.Stacey Dental Sc(608) 222-7511Prov. No.: 000012035434858 Jupiter DrMadison, WI 53718Language: EnglishGender: MaleNPI: 1275615965License: 5000714License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 222-9900Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)SWEENEY, Brian S.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122556312713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1710999404License: 6184-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SWEENEY, Patrick F.Midwest Dental(608) 249-6808Prov. No.: 0000120668354793 Hayes RdMadison, WI 53704Language: EnglishGender: MaleNPI: 1053483214License: 5001363License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 249-6962Accepts New Patients: YHospital Affiliation: N/A*

SYED, Samar B.Aspen Dental(608) 616-5897Prov. No.: 0000127759954602 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1265816417License: 1001725License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)TEHLE, Gregory S.Aspen Dental(608) 616-5897Prov. No.: 0000129128774602 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1720127558License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

TESKE, AlisonAspen Dental(608) 616-5897Prov. No.: 0000121752664602 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1922261734License: 006246License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, Walter L.First Choice Dental Group(608) 833-1100Prov. No.: 000012453023138 Junction Rd �Madison, WI 53717Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)THOMAS, Walter L.First Choice Dental Group(608) 256-0671Prov. No.: 0000124533831050 Regent StMadison, WI 53715Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 256-6077Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, Walter L.First Choice Dental Group(608) 251-3535Prov. No.: 000012453384621 S Park StMadison, WI 53715Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, Walter L.First Choice Dental Group(608) 249-9141Prov. No.: 0000124533861809 East Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)TRAN, RichardFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000126878563003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1295244374License: 1001687-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

TREGONING, DennisMidwest Dental(608) 833-3557Prov. No.: 0000001926097001 Tree LnMadison, WI 53717Language: EnglishGender: MaleNPI: 1619006079License: 5001288-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 833-5919Accepts New Patients: YHospital Affiliation: N/A*

VEERMAN, Brett L.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122601192713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1104852938License: 3795License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)WALTHER, DavidDental Health Associates Ltd(608) 246-2555Prov. No.: 00000005427749 N Walbridge AveMadison, WI 53714Language: EnglishGender: MaleNPI: 1548299860License: 2546-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WALTHER, DavidDental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122654182713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1548299860License: 2546-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WASZCZYK, ErinStacey Dental Sc(608) 222-7511Prov. No.: 000012035435858 Jupiter DrMadison, WI 53718Language: EnglishGender: FemaleNPI: 1790970424License: 6134-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 222-9900Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)WHITE, Mark A.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000124259203003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1114376225License: 1001296License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WILTON, Jeffrey S.Aids Resource Center ofWisconsin(608) 252-6540Prov. No.: 000012032587600 Williamson St Ste HMadison, WI 53703Language: EnglishGender: MaleNPI: 1437361706License: 5078015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 252-6540Accepts New Patients: YHospital Affiliation: N/A*

WOZNIAK, Jerzy E.Aids Resource Center ofWisconsin(608) 252-6540Prov. No.: 000012495506600 Williamson St Ste HMadison, WI 53703Language: EnglishGender: MaleNPI: 1063628006License: 100120415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 252-6540Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)WU, Chun-TingFamilia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000126221973003 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1952824963License: 1001652-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

XIAO, DingboFirst Choice Dental Group(608) 833-1100Prov. No.: 000013057331138 Junction Rd �Madison, WI 53717Language: Chinese, English,MandarinGender: MaleNPI: 1659866077License: 1001951License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*

Middleton

BRAAKSMA, Christabelle E.First Choice Dental Group(608) 836-1020Prov. No.: 0000126836787780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: FemaleNPI: 1669814455License: 1001037-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Middleton (Cont.)GALLMAN, Nicole M.First Choice Dental Group(608) 836-1020Prov. No.: 0000120828587780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: FemaleNPI: 1235498056License: 6925-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

GRAF, William J.First Choice Dental Group(608) 836-1020Prov. No.: 0000002444787780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1891861092License: 3696-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

HAAG, ChristineFirst Choice Dental Group(608) 836-1020Prov. No.: 0000071935647780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: FemaleNPI: 1902928872License: 5428-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Middleton (Cont.)KAMMER, Christian S.Lifetime FamilyDentistry@Greenway Station(608) 827-6453Prov. No.: 0000006935868313 Greenway Blvd Ste 15 �0Middleton, WI 53562Language: EnglishGender: MaleNPI: 1588814891License: 2887-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 824-9927Accepts New Patients: YHospital Affiliation: N/A*

KILLIAN, Brent A.Killian Dental Clinic(608) 831-0467Prov. No.: 0000121006236213 Middleton Springs DrMiddleton, WI 53562Language: EnglishGender: MaleNPI: 1417126376License: 616115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KILLIAN, Greg A.Killian Dental Clinic(608) 831-0467Prov. No.: 0000001163956213 Middleton Springs DrMiddleton, WI 53562Language: EnglishGender: MaleNPI: 1417165838License: 5002108License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Middleton (Cont.)LUBET, Dana B.Dana Lubet(608) 836-1446Prov. No.: 0000001316746661 University AveMiddleton, WI 53562Language: EnglishGender: FemaleNPI: 1124237565License: 3397License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LUBET, Dana B.Middleton Family Dentisty(608) 836-1446Prov. No.: 0000126317206660 University AveMiddleton, WI 53562Language: EnglishGender: FemaleNPI: 1124237565License: 3397License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MANN, CourtneyMiddleton Family Dentisty(608) 836-1446Prov. No.: 0000124439416660 University AveMiddleton, WI 53562Language: EnglishGender: FemaleNPI: 1356718795License: 1001198-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Middleton (Cont.)MEYER, Jonathan R.Lifetime FamilyDentistry@Greenway Station(608) 827-6453Prov. No.: 0000126934318313 Greenway Blvd Ste 15 �0Middleton, WI 53562Language: EnglishGender: MaleNPI: 1598170466License: 7287-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 824-9927Accepts New Patients: YHospital Affiliation: N/A*

MURRAY, Stephen C.First Choice Dental Group(608) 836-1020Prov. No.: 0000126309347780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1770588766License: 1001533-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

MUTHUKURI, Geetha R.First Choice Dental Group(608) 836-1020Prov. No.: 0000125896087780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: FemaleNPI: 1528346533License: 6655-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Middleton (Cont.)NILES, David C.First Choice Dental Group(608) 836-1020Prov. No.: 0000121034847780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1215051529License: 7163-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

OCHSNER, CameronMiddleton Family Dentisty(608) 836-1446Prov. No.: 0000126311786660 University AveMiddleton, WI 53562Language: EnglishGender: MaleNPI: 1659481752License: 5132-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PENWELL, DavidFirst Choice Dental Group(608) 836-1020Prov. No.: 0000071940737780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1235252768License: 4862-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Middleton (Cont.)ROLLI, AlyshaMiddleton Family Dental Llc(608) 836-1446Prov. No.: 0000128894196660 University AveMiddleton, WI 53562Language: EnglishGender: FemaleNPI: 1760975395License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHRAMM, TimothyFirst Choice Dental Group(608) 836-1020Prov. No.: 0000127857367780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1881115954License: 1001626-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHIPLEY, James H.Distinctive Dentistry Llc(608) 836-1422Prov. No.: 0000002196998383 Greenway Blvd Ste 120Middleton, WI 53562Language: EnglishGender: MaleNPI: 1083874663License: 5000352-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Middleton (Cont.)SZEWCZYK, JonathanMiddleton Family Dental Llc(608) 836-1446Prov. No.: 0000129096386660 University AveMiddleton, WI 53562Language: EnglishGender: MaleNPI: 1982113130License: 1001894License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, Walter L.First Choice Dental Group(608) 836-1020Prov. No.: 0000124534647780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

TRIMBELL, BrandonFirst Choice Dental Group(608) 836-1020Prov. No.: 0000128920747780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1013335223License: 7268License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Middleton (Cont.)WANGSAWIHARDJA, FelixFirst Choice Dental Group(608) 836-1020Prov. No.: 0000128884617780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1992298400License: 1001857License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

XIAO, DingboFirst Choice Dental Group Sc(608) 836-1020Prov. No.: 0000130572967780 Elmwood Ave Ste 108Middleton, WI 53562Language: Chinese, English,MandarinGender: MaleNPI: 1659866077License: 1001951License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ZIETZ, Fred E.West University FamilyDentistry(608) 238-6244Prov. No.: 0000006364046333 University AveMiddleton, WI 53562Language: EnglishGender: MaleNPI: 1346463528License: 3582License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Monona

DENDINGER, Susan E.Susan E Dendinger(608) 222-3231Prov. No.: 000012614873100 River Pl Ste 220Monona, WI 53716Language: EnglishGender: FemaleNPI: 1538697008License: 1001528-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GUSTAVSON, MarkAffiliated Dentists Sc(608) 222-3231Prov. No.: A00000017754100 River Pl Ste 220 �Monona, WI 53716Language: EnglishGender: MaleNPI: 1558685297License: 5968015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 222-2959Accepts New Patients: YHospital Affiliation: N/A*

MILLER, Joann M.Affiliated Dentists Sc(608) 222-3231Prov. No.: 000000310341100 River Pl Ste 220 �Monona, WI 53716Language: EnglishGender: FemaleNPI: 1225352883License: 5647License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 222-2959Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Monona (Cont.)PORTER, Brian D.Affiliated Dentists Sc(608) 222-3231Prov. No.: 000008821876100 River Pl Ste 220 �Monona, WI 53716Language: EnglishGender: MaleNPI: 1154587434License: 6266-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 222-2959Accepts New Patients: YHospital Affiliation: N/A*

Mount Horeb

BURGER, Brittany D.Mt Horeb Dental Llc(608) 437-5519Prov. No.: 000012527410303 E Main StMount Horeb, WI 53572Language: EnglishGender: FemaleNPI: 1093076978License: 6912-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 437-9155Accepts New Patients: YHospital Affiliation: N/A*

HOSTETLER, Matthew A.Mt Horeb Dental Llc(608) 437-5519Prov. No.: 000010902988303 E Main StMount Horeb, WI 53572Language: EnglishGender: MaleNPI: 1417180498License: 716915License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 437-9155Accepts New Patients: NHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Mount Horeb (Cont.)REIGLE, EricMt Horeb Dental Llc(608) 437-5519Prov. No.: 000012878004303 E Main StMount Horeb, WI 53572Language: EnglishGender: MaleNPI: 1508253816License: 1001095License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 437-9155Accepts New Patients: YHospital Affiliation: N/A*

Stoughton

DOW, StevenFirst Choice Dental Group(608) 205-3280Prov. No.: 0000126045251300 Nygaard StStoughton, WI 53589Language: EnglishGender: MaleNPI: 1487034294License: 1001121License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

MEYER, Jonathan R.Lifetime Family Dentistry ofStoughton Llc(608) 205-6271Prov. No.: 000012596279101 W Main StStoughton, WI 53589Language: EnglishGender: MaleNPI: 1598170466License: 7287-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 877-4975Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Stoughton (Cont.)MURRAY, Stephen C.First Choice Dental Group(608) 205-3280Prov. No.: 0000126309391300 Nygaard StStoughton, WI 53589Language: EnglishGender: MaleNPI: 1770588766License: 1001533-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

MUTHUKURI, Geetha R.First Choice Dental Group(608) 205-3280Prov. No.: 0000126048361300 Nygaard StStoughton, WI 53589Language: EnglishGender: FemaleNPI: 1528346533License: 6655-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

OEHLKE, Brieanne M.Lifetime Family Dentistry ofStoughton Llc(608) 205-6271Prov. No.: 000012175133101 W Main StStoughton, WI 53589Language: EnglishGender: FemaleNPI: 1043624034License: 727215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 877-4975Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Stoughton (Cont.)SHARKUS, Joe D.First Choice Dental Group(608) 205-3280Prov. No.: 0000126042461300 Nygaard StStoughton, WI 53589Language: EnglishGender: MaleNPI: 1588786016License: 4400-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

TRIMBELL, BrandonFirst Choice Dental Group(608) 205-3280Prov. No.: 0000128920681300 Nygaard StStoughton, WI 53589Language: EnglishGender: MaleNPI: 1013335223License: 7268License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

WAGNER, Elizabeth A.First Choice Dental Group(608) 205-3280Prov. No.: 0000126045241300 Nygaard StStoughton, WI 53589Language: EnglishGender: FemaleNPI: 1588740492License: 492015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Sun Prairie

BROWN, Pierce J.Mdc Sun Prairie Llc(608) 837-4636Prov. No.: 0000126430161460 W Main StSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1831540764License: 100135415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 837-7839Accepts New Patients: YHospital Affiliation: N/A*

BUDI, Andrew N.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012846726119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1134523681License: 1000971-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

COOPER, Jeffrey S.First Choice Dental Group(608) 837-9800Prov. No.: 000012467739140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1972664811License: 411915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Sun Prairie (Cont.)GRAF, William J.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012558951119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1891861092License: 3696-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

GUNDERSEN, David F.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012558960119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1255626792License: 6712-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

HAAG, ChristineFirst Choice Dental Group(608) 837-9800Prov. No.: 000005059902140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1902928872License: 5428-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Sun Prairie (Cont.)HAAG, ChristineFirst Choice Dental Group Sc(608) 318-4330Prov. No.: 000012558952119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1902928872License: 5428-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

JAEGER, Frederick J.Forward Dental(608) 478-3772Prov. No.: 0000128411642572 Ironwood Dr Ste 108Sun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1285735894License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (608) 478-3776Accepts New Patients: YHospital Affiliation: N/A*

MELLO, JuneFirst Choice Dental Group Sc(608) 318-4330Prov. No.: 000012558953119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1770606220License: 3947-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Sun Prairie (Cont.)MURRAY, Stephen C.First Choice Dental Group(608) 837-9800Prov. No.: 000012622110140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1770588766License: 1001533-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*

MURRAY, Stephen C.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012630937119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1770588766License: 1001533-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

NILES, David C.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012558947119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1215051529License: 7163-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Sun Prairie (Cont.)SCHRAMM, TimothyFirst Choice Dental Group(608) 837-9800Prov. No.: 000012785735140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1881115954License: 1001626-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Margaret A.First Choice Dental Group(608) 837-9800Prov. No.: 000012098617140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1497041651License: 6733-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*

SQUIRES, Sarah A.First Choice Dental Group(608) 837-9800Prov. No.: 000005059649140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1467688267License: 6351-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Sun Prairie (Cont.)THOMAS, Walter L.First Choice Dental Group(608) 837-9800Prov. No.: 000012453389140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, Walter L.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012558967119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

THOR, Alex MaToken Creek Dental Center Llc(608) 837-3949Prov. No.: 0000003371463120 Edmonton Dr Ste 400Sun Prairie, WI 53590Language: English, HmongGender: MaleNPI: 1093880593License: 5630-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Sun Prairie (Cont.)WERWIE, John M.Forward Dental(608) 478-3772Prov. No.: 0000122458972572 Ironwood Dr Ste 108Sun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1376578328License: 5001848-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 478-3776Accepts New Patients: YHospital Affiliation: N/A*

ZHANG, Vivienne C.Wisconsin Dental Health Llc(608) 237-1920Prov. No.: 000012848948390 S Grand Ave Ste 110Sun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1245649649License: 1001239-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ZIINO, Robert J.Mdc Sun Prairie Llc(608) 837-4636Prov. No.: 0000000543131460 W Main StSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1154330991License: 5001836License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 837-7839Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Verona

BOYSEN, Joseph H.First Choice Dental Group(608) 848-2000Prov. No.: 000006512174927 N Main StVerona, WI 53593Language: EnglishGender: MaleNPI: 1285075267License: 7110-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

COOPER, Jeffrey S.First Choice Dental Group(608) 848-2000Prov. No.: 000012467722927 N Main StVerona, WI 53593Language: EnglishGender: MaleNPI: 1972664811License: 411915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

GRAF, William J.First Choice Dental Group(608) 848-2000Prov. No.: 000006436656927 N Main StVerona, WI 53593Language: EnglishGender: MaleNPI: 1891861092License: 3696-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Verona (Cont.)KOKOTT, Michael I.Associated Dentists(608) 848-4000Prov. No.: 0000006341681010 N Edge TrlVerona, WI 53593Language: EnglishGender: MaleNPI: 1801015151License: 3465-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MUTHUKURI, Geetha R.First Choice Dental Group(608) 848-2000Prov. No.: 000012586856927 N Main StVerona, WI 53593Language: EnglishGender: FemaleNPI: 1528346533License: 6655-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

PENWELL, DavidFirst Choice Dental Group(608) 848-2000Prov. No.: 000000113936927 N Main StVerona, WI 53593Language: EnglishGender: MaleNPI: 1235252768License: 4862-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Verona (Cont.)SANDS, James H.Associated Dentists(608) 848-4000Prov. No.: 0000003368831010 N Edge TrlVerona, WI 53593Language: EnglishGender: MaleNPI: 1851510747License: 5988-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TEPE, Patrick J.Associated Dentists(608) 848-4000Prov. No.: 0000002592881010 N Edge TrlVerona, WI 53593Language: EnglishGender: MaleNPI: 1316166283License: 4639License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, Walter L.First Choice Dental Group(608) 848-2000Prov. No.: 000012453387927 N Main StVerona, WI 53593Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Verona (Cont.)WANGSAWIHARDJA, FelixFirst Choice Dental Group(608) 848-2000Prov. No.: 000012888401927 N Main StVerona, WI 53593Language: EnglishGender: MaleNPI: 1992298400License: 1001857License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

Waunakee

COOPER, Jeffrey S.First Choice Dental Group(608) 849-5600Prov. No.: 0000124677901141 Simon CrestwayWaunakee, WI 53597Language: EnglishGender: MaleNPI: 1972664811License: 411915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 268-8611Accepts New Patients: YHospital Affiliation: N/A*

D’AMOUR, Aimee M.Midwest Dental(608) 849-4794Prov. No.: 0000085142425898 Woodland DrWaunakee, WI 53597Language: EnglishGender: FemaleNPI: 1245674258License: 7078-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 849-4790Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Waunakee (Cont.)GALLMAN, Nicole M.First Choice Dental Group(608) 849-5600Prov. No.: 0000120828621141 Simon CrestwayWaunakee, WI 53597Language: EnglishGender: FemaleNPI: 1235498056License: 6925-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 268-8611Accepts New Patients: YHospital Affiliation: N/A*

JANET, David R.Midwest Dental(608) 849-4794Prov. No.: 0000129020655898 Woodland DrWaunakee, WI 53597Language: EnglishGender: MaleNPI: 1225514672License: 1001892-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 849-4790Accepts New Patients: YHospital Affiliation: N/A*

KARLS, Stanley A.Stanley Karls Dds Llc(608) 849-4100Prov. No.: 000012025802400 W 2nd StWaunakee, WI 53597Language: EnglishGender: MaleNPI: 1144365354License: 5000530License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Waunakee (Cont.)LENZ, Mary F.Midwest Dental(608) 849-4794Prov. No.: 0000126117985898 Woodland DrWaunakee, WI 53597Language: EnglishGender: FemaleNPI: 1477089415License: 1001552-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 849-4790Accepts New Patients: YHospital Affiliation: N/A*

MUTHUKURI, Geetha R.First Choice Dental Group(608) 849-5600Prov. No.: 0000125896101141 Simon CrestwayWaunakee, WI 53597Language: EnglishGender: FemaleNPI: 1528346533License: 6655-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 268-8611Accepts New Patients: YHospital Affiliation: N/A*

NILES, David C.First Choice Dental Group(608) 849-5600Prov. No.: 0000121034881141 Simon CrestwayWaunakee, WI 53597Language: EnglishGender: MaleNPI: 1215051529License: 7163-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 268-8611Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Waunakee (Cont.)SCOTT, Virginia G.Midwest Dental(608) 849-4794Prov. No.: 0000123108405898 Woodland DrWaunakee, WI 53597Language: EnglishGender: FemaleNPI: 1649390063License: 4505-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 849-4790Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Tucker C.Midwest Dental(608) 849-4794Prov. No.: 0000126173275898 Woodland DrWaunakee, WI 53597Language: EnglishGender: MaleNPI: 1356861827License: 1001607-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 849-4790Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, Walter L.First Choice Dental Group(608) 849-5600Prov. No.: 0000124533901141 Simon CrestwayWaunakee, WI 53597Language: EnglishGender: MaleNPI: 1649378217License: 602615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 268-8611Accepts New Patients: YHospital Affiliation: N/A*



DODGE COUNTY

Beaver Dam

HADDOCK, AndrewNathan Daily(920) 356-5012Prov. No.: 000012900247207 S University AveBeaver Dam, WI 53916Language: EnglishGender: MaleNPI: 1073005708License: 1001807License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOPKINS, TracyNathan Daily(920) 887-8079Prov. No.: 000012880395207 S University AveBeaver Dam, WI 53916Language: EnglishGender: MaleNPI: 1821072695License: 5097-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SRECA, TiffanyNathan Daily(920) 356-5012Prov. No.: 000012526753207 S University AveBeaver Dam, WI 53916Language: EnglishGender: FemaleNPI: 1669705935License: 100146015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DODGE COUNTY (Cont.)

Brownsville

PESCH JR, John F.Pesch Dentistry(920) 583-3454Prov. No.: 000000023969536 Main StBrownsville, WI 53006Language: EnglishGender: MaleNPI: 1366505224License: 5001392-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Lomira

FERRIS, Jacob W.Lomira Family Dental Llc(920) 269-4453Prov. No.: 000012965480717 S Water StLomira, WI 53048Language: EnglishGender: MaleNPI: 1932551751License: 100138715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 269-4047Accepts New Patients: YHospital Affiliation: N/A*

LLOYD, Cailyn C.Lloyd Cailyn C(920) 269-4453Prov. No.: 000000046342717 S Water StLomira, WI 53048Language: EnglishGender: FemaleNPI: 1215948880License: 2713License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 269-7430Accepts New Patients: YHospital Affiliation: N/A*


Mayville

HERGET, James J.James J Herget Dds Llc(920) 387-5810Prov. No.: 0000000254141766 Horicon St �Mayville, WI 53050Language: EnglishGender: MaleNPI: 1851396931License: 3919015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Theresa

CREGO JR, Donald F.Donald F Crego Jr Dds Sc(920) 488-3703Prov. No.: 000000264454106 S Milwaukee StTheresa, WI 53091Language: EnglishGender: MaleNPI: 1174665053License: 5001403License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Watertown

WERTZ, Michael J.Advanced Family Dentistry(920) 261-0588Prov. No.: 000000275985123 Hospital Dr Ste 201Watertown, WI 53098Language: EnglishGender: MaleNPI: 1265514335License: 4872License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Waupun

CHAMPION, JeffreyJeffrey L Champion Dds Llc(920) 324-2561Prov. No.: 000000249102129 N Madison StWaupun, WI 53963Language: EnglishGender: MaleNPI: 1457479024License: 3743License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DOOR COUNTY

Sturgeon Bay

LANGEBERG, Allen D.Midwest Dental(920) 746-6400Prov. No.: 0000127952741715 Rhode Island StSturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 746-8603Accepts New Patients: YHospital Affiliation: N/A*

LONGE, William G.Midwest Dental(920) 746-6400Prov. No.: 0000128532561715 Rhode Island StSturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1013136381License: 2717-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 746-8603Accepts New Patients: YHospital Affiliation: N/A*



DOOR COUNTY (Cont.)

Sturgeon Bay (Cont.)RICKARD, Paul V.Victoria M Berry Dds(920) 746-6400Prov. No.: 0000126805601715 Rhode Island StSturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DOUGLAS COUNTY

Lake Nebagamon

LAWLER, Michael R.Michael R Lawler Dds Sc(715) 374-2856Prov. No.: 0000001720676881 S Lake AveLake Nebagamon, WI 54849Language: EnglishGender: MaleNPI: 1740519537License: 2470-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 374-2299Accepts New Patients: YHospital Affiliation: N/A*

Superior

FERRIS, Jacob W.Twin Ports Dental(715) 394-5792Prov. No.: 0000124444283712 Tower Ave Ste A �Superior, WI 54880Language: EnglishGender: MaleNPI: 1932551751License: 100138715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 398-7455Accepts New Patients: YHospital Affiliation: N/A*

DOUGLAS COUNTY (Cont.)

Superior (Cont.)INGLES, Eugene F.Twin Ports Dental(715) 394-5792Prov. No.: 0000127377483712 Tower Ave Ste A �Superior, WI 54880Language: EnglishGender: MaleNPI: 1609890201License: 1001432-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 398-7455Accepts New Patients: YHospital Affiliation: N/A*

JONASEN, Tiffany L.Lake Superior CommunityHealth Center(715) 394-5411Prov. No.: 0000127594773600 Tower Ave Ste 2Superior, WI 54880Language: EnglishGender: FemaleNPI: 1275727000License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHWARTZ, Amanda G.Midwest Dental(715) 392-4545Prov. No.: 000012008175823 Belknap St Ste 220Superior, WI 54880Language: EnglishGender: FemaleNPI: 1316372691License: 7162-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 392-4547Accepts New Patients: YHospital Affiliation: N/A*

DOUGLAS COUNTY (Cont.)

Superior (Cont.)WELLE, Kristina B.Conkright Dental Llc(715) 392-4545Prov. No.: 000012654641823 Belknap St Ste 220 �Superior, WI 54880Language: EnglishGender: FemaleNPI: 1740630326License: 1001442-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 392-4547Accepts New Patients: YHospital Affiliation: N/A*

ZEHM, Arthur D.Dr Arthur D Zehm(715) 394-9631Prov. No.: 0000001372581507 Tower Ave Ste 409Superior, WI 54880Language: EnglishGender: MaleNPI: 1063632552License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DUNN COUNTY

Colfax

PHILLIPS, LawrenceColfax Dental Wellness ClinicLlc(715) 962-3828Prov. No.: 000000678182619 Main StColfax, WI 54730Language: EnglishGender: MaleNPI: 1134330012License: 394615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DUNN COUNTY (Cont.)

Menomonie

BARNES, Emily T.Menomonie Dental(715) 235-6858Prov. No.: 0000128975741603 Stout RdMenomonie, WI 54751Language: EnglishGender: FemaleNPI: 1275733123License: 6152-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 235-0460Accepts New Patients: YHospital Affiliation: N/A*

BOTSFORD, Brandon N.Midwest Dental(715) 235-1173Prov. No.: 0000121076392303 Schneider Ave SE Ste200Menomonie, WI 54751Language: EnglishGender: MaleNPI: 1851688386License: 6753License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 235-5878Accepts New Patients: YHospital Affiliation: N/A*

CHAMBERS, Mark E.Cedar Creek Dental(715) 235-6116Prov. No.: 0000004019513101 Schneider Ave SE Ste �1Menomonie, WI 54751Language: EnglishGender: MaleNPI: 1568623585License: 6233-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 235-2662Accepts New Patients: YHospital Affiliation: N/A*



DUNN COUNTY (Cont.)

Menomonie (Cont.)CHAMBERS, Sarah D.Cedar Creek Dental(715) 235-6116Prov. No.: 0000104027213101 Schneider Ave SE Ste �1Menomonie, WI 54751Language: EnglishGender: FemaleNPI: 1205134475License: 6627License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 235-2662Accepts New Patients: YHospital Affiliation: N/A*

HARUNANI, Mohamed F.Midwest Dental(715) 235-1173Prov. No.: 0000129999382303 Schneider Ave SE Ste200Menomonie, WI 54751Language: EnglishGender: MaleNPI: 1720205560License: 581615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 235-5878Accepts New Patients: YHospital Affiliation: N/A*

HASTINGS, JenniferRed Cedar Dentistry Llc(715) 309-2999Prov. No.: 0000128445272409 Hils CtMenomonie, WI 54751Language: EnglishGender: FemaleNPI: 1336554039License: 7263License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DUNN COUNTY (Cont.)

Menomonie (Cont.)JOYCE, Lisa C.Gentle Dental Care(715) 235-7566Prov. No.: 0000002082841813 Wilson StMenomonie, WI 54751Language: EnglishGender: FemaleNPI: 1801861570License: 432315License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KIM, SoheeBruce M Trimble(715) 235-2211Prov. No.: 000012997743460 Crescent StMenomonie, WI 54751Language: EnglishGender: FemaleNPI: 1316467517License: 1001610-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

OTIS CZECHOWICZ, Emma L.Cedar Creek Dental(715) 235-6116Prov. No.: 0000126023043101 Schneider Ave SE Ste �1Menomonie, WI 54751Language: EnglishGender: FemaleNPI: 1043331176License: 6011License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 235-2662Accepts New Patients: YHospital Affiliation: N/A*

DUNN COUNTY (Cont.)

Menomonie (Cont.)TRIMBLE, Bruce M.Bruce Trimble(715) 235-2211Prov. No.: 000012152448460 Crescent StMenomonie, WI 54751Language: EnglishGender: MaleNPI: 1861601478License: 5379License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Midwest Dental(715) 235-1173Prov. No.: 0000126611682303 Schneider Ave SE Ste200Menomonie, WI 54751Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 235-5878Accepts New Patients: YHospital Affiliation: N/A*

EAU CLAIRE COUNTY

Altoona

HABBEN, GregoryMidwest Dental(715) 835-1233Prov. No.: 0000124238503063 Meadowlark Ln Ste 60Altoona, WI 54720Language: EnglishGender: MaleNPI: 1093844110License: 2846-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 835-4216Accepts New Patients: YHospital Affiliation: N/A*

EAU CLAIRE COUNTY (Cont.)

Altoona (Cont.)KENYON, David J.David J Kenyon Dds(715) 832-3385Prov. No.: 0000001214551326 Lynn AveAltoona, WI 54720Language: EnglishGender: MaleNPI: 1710051776License: 4671-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 855-7224Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Midwest Dental(715) 835-1233Prov. No.: 0000126404113063 Meadowlark Ln Ste 60Altoona, WI 54720Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 835-4216Accepts New Patients: YHospital Affiliation: N/A*

Augusta

CHRISTMAN, Blane R.Blane Christman(715) 286-2960Prov. No.: 000012471541112 S Stone StAugusta, WI 54722Language: EnglishGender: MaleNPI: 1861591398License: 4080-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Augusta (Cont.)MERRILL, Robert S.Robert S Merrill Dds(715) 286-2960Prov. No.: 000000138817112 S Stone St �Augusta, WI 54722Language: EnglishGender: MaleNPI: 1073511416License: 2537License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Eau Claire

ABDELRAHIM, Adham F.Aspen Dental(715) 835-5300Prov. No.: 0000125289463809 Oakwood Mall Dr SteCEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1962801738License: 1000992License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

APELGREN, Jayce E.Hebert Dental(715) 835-0606Prov. No.: 0000121793104710 Commerce Valley Rd �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1619358397License: 1001134License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 835-8473Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)BARANEK, ElizabethMidwest Dental(715) 836-0136Prov. No.: 0000125623202302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1568819258License: 100129015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*

BECHARD, Kristine K.Machgan Family Dental(715) 834-2004Prov. No.: 0000001335783522 Oakwood Hills Pkwy �Eau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1245408095License: 4490-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 834-2004Accepts New Patients: YHospital Affiliation: N/A*

BEHRENS, LeroyMidwest Dental(715) 836-0136Prov. No.: 0000130374862302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1144323171License: 5001897-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)BERGAN, Brian R.Midwest Dental(715) 836-0136Prov. No.: 0000124935242302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1528082716License: 5009License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*

BETHKE, William D.All Family Dental(715) 835-7172Prov. No.: 0000001257983131 Stein BlvdEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1154446508License: 3548-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BRADLE, MarkMidwest Dental(715) 836-0136Prov. No.: 0000127982132302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1225410590License: 1001475License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)BROWN, Michael J.Hebert Dental(715) 835-0606Prov. No.: 0000106960064710 Commerce Valley Rd �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1396005237License: 6981-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 835-8473Accepts New Patients: YHospital Affiliation: N/A*

CHINTALA, AnushaMidwest Dental(715) 836-0136Prov. No.: 0000130548372302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1053888057License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*

DELANGHE, ChristineMaple Ridge Dental Llc(715) 552-7227Prov. No.: 0000035890643110 Craig Rd �Eau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1124389135License: 6911-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 552-7225Accepts New Patients: YHospital Affiliation: N/A*




Eau Claire (Cont.)DEUTSCHMANN, EdwardMidwest Dental(715) 836-0136Prov. No.: 0000130549522302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1093718710License: 2563-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*

DOERING, Jason C.Eau Claire Family Dental(715) 832-8063Prov. No.: 0000050582261018 Regis Ct �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1245466317License: 6385License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 835-1231Accepts New Patients: YHospital Affiliation: N/A*

FLEMING, Nathan H.Eau Claire Family Dental(715) 832-8063Prov. No.: 0000001917021018 Regis Ct �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1619063195License: 5646-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 835-1231Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)GERDIN, LaurenAll Family Dental(715) 835-7172Prov. No.: 0000128003053131 Stein BlvdEau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1992234447License: 1001530-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HABBEN, GregoryMidwest Dental(715) 835-1233Prov. No.: 0000000429463300 Birch St Ste BEau Claire, WI 54703Language: EnglishGender: MaleNPI: 1093844110License: 2846-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 835-4216Accepts New Patients: YHospital Affiliation: N/A*

HEBERT JR, Thomas J.Hebert Dental(715) 835-0606Prov. No.: 0000001321454710 Commerce Valley Rd �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1104940857License: 5001465-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 835-8473Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)HEHLI, Emily M.Oak Park Dental(715) 855-9220Prov. No.: 0000126155974605 Royal Dr �Eau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1972023141License: 1001547-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 833-9225Accepts New Patients: YHospital Affiliation: N/A*

HEHLI, Emily M.Maple Ridge Dental Llc(715) 552-7227Prov. No.: 0000126156473110 Craig Rd �Eau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1972023141License: 1001547-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 552-7225Accepts New Patients: YHospital Affiliation: N/A*

HEHLI, Todd A.Oak Park Dental(715) 855-9220Prov. No.: 0000000545594605 Royal Dr �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1922160498License: 4060-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 833-9225Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)HOFFMANN, Edward W.Aspen Dental(715) 835-5300Prov. No.: 0000124923053809 Oakwood Mall Dr SteCEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

KIM, SoheeAspen Dental(715) 835-5300Prov. No.: 0000126162743809 Oakwood Mall Dr SteCEau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1316467517License: 1001610-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

LANGEBERG, Allen D.Midwest Dental(715) 836-0136Prov. No.: 0000128332142302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*




Eau Claire (Cont.)MACHGAN, Thomas W.Machgan Family Dental(715) 834-2004Prov. No.: 0000003195353522 Oakwood Hills Pkwy �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1710155569License: 449015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 834-2004Accepts New Patients: YHospital Affiliation: N/A*

MCCAN, DamonOak Park Dental(715) 855-9220Prov. No.: 0000001795304605 Royal Dr �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1245392604License: 5642-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 833-9225Accepts New Patients: YHospital Affiliation: N/A*

MEER, Bradley A.Maple Ridge Dental Llc(715) 552-7227Prov. No.: 0000013653843110 Craig Rd �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1972589133License: 5476-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 552-7225Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)OTIS CZECHOWICZ, Emma L.Maple Ridge Dental Llc(715) 552-7227Prov. No.: 0000013239283110 Craig Rd �Eau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1043331176License: 6011License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 552-7225Accepts New Patients: YHospital Affiliation: N/A*

PAYNE, Kelly T.Oak Park Dental(715) 855-9220Prov. No.: 0000003067974605 Royal Dr �Eau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1548322050License: 5423-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 833-9225Accepts New Patients: YHospital Affiliation: N/A*

PETERSON, Austin M.Aspen Dental(715) 835-5300Prov. No.: 0000129456143809 Oakwood Mall Dr SteCEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1639650187License: 1001921License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)PFUNDHELLER, RyanDental Health Center(715) 832-3100Prov. No.: 000012239376215 5th AveEau Claire, WI 54703Language: EnglishGender: MaleNPI: 1306218698License: 100122315License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 832-3170Accepts New Patients: YHospital Affiliation: N/A*

PIERCE, Lewis H.Midwest Dental(715) 836-0136Prov. No.: 0000127771162302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1902170145License: 100106015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*

RONQUIST, Kyle R.All Family Dental(715) 835-7172Prov. No.: 0000126516943131 Stein BlvdEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1962927517License: 1001663-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)ROSENBERGER, MelindaMidwest Dental(715) 835-5208Prov. No.: 0000003355264423 Golf Ter Ste 4Eau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1598894925License: 5283-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 835-4761Accepts New Patients: YHospital Affiliation: N/A*

ROTT, Robin L.Dental Health Center(715) 832-3100Prov. No.: 000012638646215 5th AveEau Claire, WI 54703Language: EnglishGender: FemaleNPI: 1003287228License: 100121915License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 832-3170Accepts New Patients: YHospital Affiliation: N/A*

ROTTY, KateeHebert Dental(715) 835-0606Prov. No.: 0000124246464710 Commerce Valley Rd �Eau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1841648607License: 1001306License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 835-8473Accepts New Patients: YHospital Affiliation: N/A*




Eau Claire (Cont.)SISOMBATH, JacobMidwest Dental(715) 836-0136Prov. No.: 0000003417192302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1710154224License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*

SPAIN, Daniel L.Midwest Dental(715) 836-0136Prov. No.: 0000130374872302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1871799874License: 100126215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*

TARPENNING, SeanHebert Dental(715) 835-0606Prov. No.: 0000002570684710 Commerce Valley Rd �Eau Claire, WI 54701Language: EnglishGender: MaleNPI: 1639293343License: 530415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 835-8473Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)TESSENDORF, Erin C.Dhc Sc Eau Claire(715) 832-3100Prov. No.: 000001826393215 5th AveEau Claire, WI 54703Language: EnglishGender: FemaleNPI: 1912263716License: 6897-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 832-3170Accepts New Patients: YHospital Affiliation: N/A*

TESSENDORF, John N.Dhc Sc Eau Claire(715) 832-3100Prov. No.: 000000433538215 5th Ave �Eau Claire, WI 54703Language: EnglishGender: MaleNPI: 1891992483License: 2245-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 832-3170Accepts New Patients: YHospital Affiliation: N/A*

TESSENDORF, Thomas J.Dhc Sc Eau Claire(715) 832-3100Prov. No.: 000002017736215 5th Ave �Eau Claire, WI 54703Language: EnglishGender: MaleNPI: 1992064661License: 6880-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 832-3170Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)THOMPSON, Robert D.Midwest Dental(715) 836-0136Prov. No.: 0000000429432302 Hendrickson DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1679602643License: 2637-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 836-7048Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Dental Health Center(715) 832-3100Prov. No.: 000012442918215 5th AveEau Claire, WI 54703Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 832-3170Accepts New Patients: YHospital Affiliation: N/A*

FOND DU LAC COUNTY

Fond Du Lac

ABBAS, KomailDental Associates Ltd(920) 924-9090Prov. No.: 000013255306545 E Johnson St �Fond Du Lac, WI 54935Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

FOND DU LAC COUNTY (Cont.)

Fond Du Lac (Cont.)ABDELRAHIM, Adham F.Aspen Dental(315) 454-6000Prov. No.: 000012542346834 W Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1962801738License: 1000992License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

ALSHEHABI, HassanDental Associates Ltd(920) 924-9090Prov. No.: 000012895052545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1063906188License: 1001880License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

ARIZA, RichardDental Associates Ltd(920) 924-9090Prov. No.: 000012989037545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1902309685License: 1001944-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*




Fond Du Lac (Cont.)BHATT, Nikhil R.Midwest Dental(920) 923-6766Prov. No.: 000012165549885 Western Ave Ste 300Fond Du Lac, WI 54935Language: English, HindiGender: MaleNPI: 1487684023License: 538915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 923-6707Accepts New Patients: YHospital Affiliation: N/A*

BROWN, NatalieDental Associates Ltd(920) 924-9090Prov. No.: 000013036849545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1053896969License: 1001943License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

CAIRNS, John E.Midwest Dental Fond Du LacEast(920) 921-8950Prov. No.: 000012813122535 E Division StFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1013368786License: 1001739License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 921-0577Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)CAPUTO, William A.Dental Associates Ltd(920) 924-9090Prov. No.: 000012895029545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1366933442License: 1001876License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

CHEN, XiaoqiDental Associates Ltd(920) 924-9090Prov. No.: 000013027677545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1053801944License: 1001911License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

DESAI, SajanMichael Cunningham Dds(888) 295-9129Prov. No.: 000012934586545 E Johnson StFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1447743455License: 1001920License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)FLOROS, Casey J.Mdc Fond Du Lac Llc(920) 921-0440Prov. No.: 000008667675355 N Peters AveFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1821430448License: 7135-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 923-0310Accepts New Patients: NHospital Affiliation: N/A*

FORCIOLI, Laurent J.Dental Associates Ltd(920) 924-9090Prov. No.: 000012847425545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1083146823License: 1001545-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

GOEKE, Chad M.Mauthe & Associates Dds Sc(920) 921-1244Prov. No.: 000012444314101 Camelot Dr Ste 3 �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1548619265License: 100130015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 921-2192Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)HURLEY, Amanda L.Dental Associates Ltd(920) 924-9090Prov. No.: 000012636432545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1215466826License: 1001593-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

HUSSAIN, SadafDental Associates Ltd(920) 924-9090Prov. No.: 000012927110545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1679095061License: 1001713-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

JOHNSTON, Stephen A.Midwest Dental(920) 923-6766Prov. No.: 000000207944885 Western Ave Ste 300Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1497884852License: 575215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 923-6707Accepts New Patients: YHospital Affiliation: N/A*




Fond Du Lac (Cont.)KRAUS, Thomas L.Thomas L Kraus Llc(920) 922-2930Prov. No.: 00000017024335 W Scott StFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1285780171License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LANGEBERG, Allen D.Midwest Dental Fond Du LacEast(920) 921-8950Prov. No.: 000012621306535 E Division StFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 921-0577Accepts New Patients: YHospital Affiliation: N/A*

MACHI, ElizabethMidwest Dental(920) 923-6766Prov. No.: 000012888403885 Western Ave Ste 300Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1669963740License: 1001863-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 923-6707Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)MANOS, MarcDental Associates Ltd(920) 924-9090Prov. No.: 000012939569545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1851772701License: 1001106License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

MANSOUR, Mohammed A.Dental Associates Ltd(920) 924-9090Prov. No.: 000012604909545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

MAUTHE, William C.Mauthe & Associates Dds Sc(920) 921-1244Prov. No.: 000000054168101 Camelot Dr Ste 3Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1760628887License: 5000189-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 921-2192Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)MAUTHE III, William C.Mauthe & Associates Dds Sc(920) 921-1244Prov. No.: 000000291832101 Camelot Dr Ste 3Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1598901605License: 5479-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 921-2192Accepts New Patients: YHospital Affiliation: N/A*

MESSER, Michael S.Mauthe & Associates Dds Sc(920) 921-1244Prov. No.: 000012130786101 Camelot Dr Ste 3 �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1518278233License: 6550-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 921-2192Accepts New Patients: YHospital Affiliation: N/A*

MEYER, James P.Midwest Dental(920) 923-6766Prov. No.: 000000354906885 Western Ave Ste 300Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1215066626License: 411515License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 923-6707Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)MIYAMOTO, Courtney R.Dental Associates Ltd(920) 924-9090Prov. No.: 000013068491545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1891271987License: 1001957License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

MURRAR, InasDental Associates Ltd(920) 924-9090Prov. No.: 000012588921545 E Johnson St �Fond Du Lac, WI 54935Language: Arabic, EnglishGender: FemaleNPI: 1699192252License: 7240-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.Dental Associates Ltd(920) 924-9090Prov. No.: 000013176540545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*




Fond Du Lac (Cont.)RAKOWSKY, Nina A.Dental Associates Ltd(920) 924-9090Prov. No.: 000012958910545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1962980102License: 1001905-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

RICKARD, Paul V.Dental Associates Ltd(920) 924-9090Prov. No.: 000012793881545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Carlos M.Dental Associates Ltd(920) 924-9090Prov. No.: 000012984202545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1932602182License: 1001937License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)SEHRA, PamelaDental Associates Ltd(920) 924-9090Prov. No.: 000012634473545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1922528157License: 1001627-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

SENGER, Daniel L.John S Phillips Dds(920) 921-8950Prov. No.: 000000192347535 E Division StFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1710090741License: 500149115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SIEKER, MartinaMidwest Dental Fond Du LacEast(920) 921-8950Prov. No.: 000012873671535 E Division StFond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1639661895License: 1001821License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 921-0577Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)STOJANOVIC, ChristinaDental Associates Ltd(920) 924-9090Prov. No.: 000012608453545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1871022236License: 1001605-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

TAQVI, MohammadDental Associates Ltd(920) 924-9090Prov. No.: 000012953998545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1639661481License: 1001901License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

TESKE, AlisonAspen Dental(920) 929-7400Prov. No.: 000012121534834 W Johnson StFond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1922261734License: 006246License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)WALLANDER, Constance A.Mauthe & Associates Dds Sc(920) 921-1244Prov. No.: 000013164615101 Camelot Dr Ste 3 �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1063722643License: 6626-015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 921-2192Accepts New Patients: YHospital Affiliation: N/A*

WARD, James T.Dental Associates Ltd(920) 924-9090Prov. No.: 000012926495545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

YANG, Kwon C.Dental Associates Ltd(920) 924-9090Prov. No.: 000012944021545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1801387501License: 1001872License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*




Ripon

FLOROS, Casey J.Ripon Family Dentistry(920) 748-7731Prov. No.: 000012129736106 Watson StRipon, WI 54971Language: EnglishGender: MaleNPI: 1821430448License: 7135-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PIKE, Danielle L.Ripon Family Dentistry(920) 748-7731Prov. No.: 000012170019106 Watson StRipon, WI 54971Language: EnglishGender: FemaleNPI: 1639305642License: 6393-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RAUCH, Christopher J.Christopher Rauch(920) 748-3633Prov. No.: 000000026158929 S Grove StRipon, WI 54971Language: EnglishGender: MaleNPI: 1801963905License: 3880License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GRANT COUNTY

Fennimore

LIANG, ZhenyuZhenyu Liang(608) 822-3770Prov. No.: 000012060977220 Lincoln Ave �Fennimore, WI 53809Language: EnglishGender: MaleNPI: 1073806014License: 6808License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Lancaster

FARMER, WadeFarmers Family Dental Sc(608) 723-4367Prov. No.: 000000239393114 S Madison StLancaster, WI 53813Language: EnglishGender: MaleNPI: 1144364126License: 4633License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 723-4713Accepts New Patients: YHospital Affiliation: N/A*

Platteville

HAWES, Nathan M.Oakpark Dental Platteville Llc(608) 348-9591Prov. No.: 0000122190621250 N Water St �Platteville, WI 53818Language: EnglishGender: MaleNPI: 1508285552License: 100118915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 348-8669Accepts New Patients: YHospital Affiliation: N/A*

GRANT COUNTY (Cont.)

Platteville (Cont.)HIRSCHEY, Kevin M.Oakpark Dental Platteville Llc(608) 348-9591Prov. No.: 0000001749211250 N Water StPlatteville, WI 53818Language: EnglishGender: MaleNPI: 1083745442License: 5638License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 348-8669Accepts New Patients: YHospital Affiliation: N/A*

PERRY, James H.Oakpark Dental Platteville Llc(608) 348-9591Prov. No.: 0000011043421250 N Water StPlatteville, WI 53818Language: EnglishGender: MaleNPI: 1700818002License: 6600-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 348-8669Accepts New Patients: YHospital Affiliation: N/A*

SEXTON, Cyrena B.Oakpark Dental Platteville Llc(608) 348-9591Prov. No.: 0000003201541250 N Water St �Platteville, WI 53818Language: EnglishGender: FemaleNPI: 1013041565License: 5760-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 348-8669Accepts New Patients: YHospital Affiliation: N/A*

GREEN COUNTY

Monroe

GAMS, Kevin C.Premier Oral & MaxillofacialSurgery Sc(608) 756-8744Prov. No.: 000012900169121 6th St �Monroe, WI 53566Language: EnglishGender: MaleNPI: 1518228816License: 1001172License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PEARSON, Shayna R.Green Valley Dental(608) 328-8228Prov. No.: 0000120576222569 6 1/2 AveMonroe, WI 53566Language: EnglishGender: FemaleNPI: 1073732582License: 5917-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 328-8230Accepts New Patients: YHospital Affiliation: N/A*

New Glarus

SAQA, Rami M.Midwest Dental- New Glarus(608) 291-4005Prov. No.: 0000128217061307 State Road 69New Glarus, WI 53574Language: EnglishGender: MaleNPI: 1770922429License: 1001495-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



GREEN COUNTY (Cont.)

New Glarus (Cont.)SHRESTHA, AvigyaMidwest Dental- New Glarus(608) 291-4005Prov. No.: 0000130376621307 State Road 69New Glarus, WI 53574Language: EnglishGender: FemaleNPI: 1245719087License: 1001912-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Midwest Dental- New Glarus(608) 291-4005Prov. No.: 0000128466371307 State Road 69New Glarus, WI 53574Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GREEN LAKE COUNTY

Berlin

ZEMKE, Kurt A.Kurt A Zemke Dds(920) 361-1464Prov. No.: 000000217345280 S Church StBerlin, WI 54923Language: EnglishGender: MaleNPI: 1699725333License: 5001759License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 361-1488Accepts New Patients: YHospital Affiliation: N/A*

GREEN LAKE COUNTY (Cont.)

Green Lake

CASTLEBERRY, Kevin D.Green Lake Dental Llc(920) 294-6790Prov. No.: 000012867894560 Mill StGreen Lake, WI 54941Language: EnglishGender: MaleNPI: 1366857146License: 7284-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Markesan

DAHL, Christine L.Midwest Dental(920) 398-2662Prov. No.: 0000131459851 North StMarkesan, WI 53946Language: EnglishGender: FemaleNPI: 1730345661License: 1002000License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 398-3550Accepts New Patients: YHospital Affiliation: N/A*

SCOTT, Virginia G.Midwest Dental(920) 398-2662Prov. No.: 0000123108411 North StMarkesan, WI 53946Language: EnglishGender: FemaleNPI: 1649390063License: 4505-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 398-3550Accepts New Patients: YHospital Affiliation: N/A*

GREEN LAKE COUNTY (Cont.)

Princeton

LEHNERT, MargaretMargaret Lehnert(920) 295-3021Prov. No.: A00000016503W4861 Village Acres LnPrinceton, WI 54968Language: EnglishGender: FemaleNPI: 1669505996License: 5186015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 295-3220Accepts New Patients: YHospital Affiliation: N/A*

IOWA COUNTY

Dodgeville

FISHER, Michael C.Southwest Dental AssociatesSc(608) 935-7700Prov. No.: 0000002291731208 Joseph St Ste 200Dodgeville, WI 53533Language: EnglishGender: MaleNPI: 1750420170License: 4191License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Mineral Point

ALDRIDGE, Thomas C.Mineral Point FamilyDentistry Llc(608) 987-3662Prov. No.: 0000120764291279 Business Park Rd �Mineral Point, WI 53565Language: EnglishGender: MaleNPI: 1740594944License: 6574-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 987-3859Accepts New Patients: YHospital Affiliation: N/A*

IOWA COUNTY (Cont.)

Mineral Point (Cont.)HIRSCHEY, Kevin M.Mineral Point FamilyDentistry Llc(608) 987-3662Prov. No.: 0000124680211279 Business Park Rd �Mineral Point, WI 53565Language: EnglishGender: MaleNPI: 1083745442License: 5638License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 987-3859Accepts New Patients: YHospital Affiliation: N/A*

HOFTIEZER, Matthew M.Mineral Point FamilyDentistry Llc(608) 987-3662Prov. No.: 0000125002601279 Business Park Rd �Mineral Point, WI 53565Language: EnglishGender: MaleNPI: 1346576188License: 1001437-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 987-3859Accepts New Patients: YHospital Affiliation: N/A*

PERRY, James H.Mineral Point FamilyDentistry Llc(608) 987-3662Prov. No.: 0000012811201279 Business Park Rd �Mineral Point, WI 53565Language: EnglishGender: MaleNPI: 1700818002License: 6600-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 987-3859Accepts New Patients: YHospital Affiliation: N/A*



IRON COUNTY

Hurley

HAGEMANN, Paul G.Paul G Hagemann Dds(715) 561-3291Prov. No.: 000000134137210 5th Ave NHurley, WI 54534Language: EnglishGender: MaleNPI: 1689697328License: 5001670License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (705) 561-4377Accepts New Patients: YHospital Affiliation: N/A*

JACKSON COUNTY

Black River Falls

ALKHADER, FerasHo-Chudk Healthcare CenterProv. No.: 000012501564N6520 Lumberjack Guy RdBlack River Falls, WI 54615Language: EnglishGender: MaleNPI: 1134568884License: 1001020License Type: DBP DentistBoard Certified: Not ReportedEmail: liz.lund@ho-chunk. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

JEFFERSON COUNTY

Fort Atkinson

EBY, Stacey A.Stacey Eby Dds(920) 563-2928Prov. No.: 0000003252651100 Madison AveFort Atkinson, WI 53538Language: EnglishGender: FemaleNPI: 1801957030License: 5905015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 397-7802Accepts New Patients: YHospital Affiliation: N/A*

JEFFERSON COUNTY (Cont.)

Fort Atkinson (Cont.)PODOLL, Sara M.Podoll Dental Llc(920) 563-4322Prov. No.: 000012660514715 Sherman Ave E Ste BFort Atkinson, WI 53538Language: EnglishGender: FemaleNPI: 1073810115License: 6653-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Jefferson

MOULTON, Robert G.Robert G Moulton Dds Sc(920) 674-2865Prov. No.: 000000113018504 S Main StJefferson, WI 53549Language: EnglishGender: MaleNPI: 1245411578License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Lake Mills

BENISH, Jaclyn L.Dental Assoc of Late Mill Inc(920) 648-2331Prov. No.: 000000362891311 E Tyranena Park Rd �Lake Mills, WI 53551Language: EnglishGender: FemaleNPI: 1942347604License: 5825-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 648-3437Accepts New Patients: YHospital Affiliation: N/A*


Lake Mills (Cont.)BOYSEN, Joseph H.Lake Mills Family Dental Llc(920) 648-8254Prov. No.: 000012241810140 E Lake StLake Mills, WI 53551Language: EnglishGender: MaleNPI: 1285075267License: 7110-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 648-3655Accepts New Patients: YHospital Affiliation: N/A*

SENN, Matthew J.Dental Assoc of Late Mill Inc(920) 648-2331Prov. No.: 000012101943311 E Tyranena Park Rd �Lake Mills, WI 53551Language: EnglishGender: MaleNPI: 1326394297License: 6955-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 648-3437Accepts New Patients: YHospital Affiliation: N/A*

Palmyra

BRILOWSKI, David G.David G Brilowski Dds(262) 495-2146Prov. No.: 000000094248102 E Main StPalmyra, WI 53156Language: EnglishGender: MaleNPI: 1093914772License: 3471-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Watertown

BUCHHOLTZ, William A.Family Dental Practice(920) 261-8228Prov. No.: 0000000804701518 Doctors CtWatertown, WI 53094Language: EnglishGender: MaleNPI: 1902227267License: 5001522-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 261-8219Accepts New Patients: YHospital Affiliation: N/A*

GARRO, Kyle J.Family Dental Practice(920) 261-8228Prov. No.: 0000121643261518 Doctors CtWatertown, WI 53094Language: EnglishGender: MaleNPI: 1124431887License: 725915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 261-8219Accepts New Patients: YHospital Affiliation: N/A*

GILLINGHAM, Cary J.Midwest Dental Watertown(920) 261-5400Prov. No.: 000000053838101 Oakridge CtWatertown, WI 53094Language: EnglishGender: MaleNPI: 1760564835License: 500186215License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 261-1590Accepts New Patients: YHospital Affiliation: N/A*




Watertown (Cont.)GUNASEKERA II, JosephMidwest Dental Watertown(920) 261-5400Prov. No.: 000012895180101 Oakridge CtWatertown, WI 53094Language: EnglishGender: MaleNPI: 1295226835License: 1001804-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 261-1590Accepts New Patients: YHospital Affiliation: N/A*

SOMMERS, PaulPaul Sommers Dds(920) 261-5110Prov. No.: 000000109393121 Oakridge CtWatertown, WI 53094Language: EnglishGender: MaleNPI: 1487712782License: 229715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 261-5735Accepts New Patients: YHospital Affiliation: N/A*

JUNEAU COUNTY

Mauston

FOX, Joan L.La Clinica De Los CampesinosInc(608) 847-6700Prov. No.: 000012562243880 Herriot DrMauston, WI 53948Language: EnglishGender: FemaleNPI: 1194908236License: 1001455-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (608) 647-6122Accepts New Patients: YHospital Affiliation: N/A*

JUNEAU COUNTY (Cont.)

Mauston (Cont.)HOPKINS, TracyFamily Health Center/ LaClinica(920) 787-5514Prov. No.: 000012514410880 Herriot DrMauston, WI 53948Language: EnglishGender: MaleNPI: 1821072695License: 5097-15License Type: DBP DentistBoard Certified: NEmail: [email protected] omFax: (920) 787-4737Accepts New Patients: YHospital Affiliation: N/A*

NASEA, Olga S.La Clinica De Los CampesinosInc(608) 847-6700Prov. No.: 000012595399880 Herriot DrMauston, WI 53948Language: English, RomanianGender: FemaleNPI: 1043547664License: 7167-15License Type: DBP DentistBoard Certified: NEmail: [email protected] omFax: (608) 647-6122Accepts New Patients: YHospital Affiliation: N/A*

PETERSON, DanielleLa Clinica De Los CampesinosInc(608) 847-6700Prov. No.: 000012834111880 Herriot DrMauston, WI 53948Language: EnglishGender: FemaleNPI: 1366950602License: 1001742License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (608) 647-6122Accepts New Patients: YHospital Affiliation: N/A*


Mauston (Cont.)PETTY, John A.La Clinica De Los CampesinosInc(608) 847-6700Prov. No.: 000012523619880 Herriot DrMauston, WI 53948Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (608) 647-6122Accepts New Patients: YHospital Affiliation: N/A*

SRECA, TiffanyFamily Health Center/ LaClinica(920) 787-5514Prov. No.: 000012552367880 Herriot DrMauston, WI 53948Language: EnglishGender: FemaleNPI: 1669705935License: 100146015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (920) 787-4737Accepts New Patients: YHospital Affiliation: N/A*

New Lisbon

BLUMENTHAL, Robert J.Midwest Dental(608) 562-5180Prov. No.: 000012562057600 S Monroe StNew Lisbon, WI 53950Language: English, French,Hebrew, SpanishGender: MaleNPI: 1992875256License: 100145815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 562-3044Accepts New Patients: YHospital Affiliation: N/A*


New Lisbon (Cont.)BROWN, David J.Midwest Dental(608) 562-5180Prov. No.: 000012544474600 S Monroe StNew Lisbon, WI 53950Language: EnglishGender: MaleNPI: 1013036433License: 5318-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 562-3044Accepts New Patients: YHospital Affiliation: N/A*

SWEENEY, Patrick F.Midwest Dental- New Lisbon(608) 562-5180Prov. No.: 000012092995600 S Monroe StNew Lisbon, WI 53950Language: EnglishGender: MaleNPI: 1053483214License: 5001363License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 562-3957Accepts New Patients: YHospital Affiliation: N/A*

KENOSHA COUNTY

Kenosha

ABBAS, KomailDental Associates Ltd(262) 942-7000Prov. No.: 0000132552977117 Green Bay RdKenosha, WI 53142Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*



KENOSHA COUNTY (Cont.)

Kenosha (Cont.)AIELLO, William G.Aiello Family Dental(262) 654-0267Prov. No.: 0000000038193415 30th Ave �Kenosha, WI 53144Language: EnglishGender: MaleNPI: 1720135551License: 4493015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

AL OBAIDI, MustafaKenosha Community HealthCenter Inc(262) 626-0044Prov. No.: 0000131124486226 14th AveKenosha, WI 53143Language: EnglishGender: MaleNPI: 1043669419License: 1001954License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*

ALSHEHABI, HassanDental Associates Ltd(262) 942-7000Prov. No.: 0000128950487117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1063906188License: 1001880License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)ARIZA, RichardDental Associates Ltd(262) 942-7000Prov. No.: 0000129890307117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1902309685License: 1001944-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

AUGEND, ArsalanFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000122426096430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1053778803License: 1001259License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

AUST, NatalijaModern Family Dentists Llc(262) 484-4356Prov. No.: 0000124722956803 Sheridan RdKenosha, WI 53143Language: EnglishGender: FemaleNPI: 1588863328License: 648215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)AZAD, Koushan H.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000122426066430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1154533180License: 1001044License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BARTA, Joseph P.Kenosha Community HealthCenter(262) 656-0044Prov. No.: 0000102125916226 14th AveKenosha, WI 53143Language: EnglishGender: MaleNPI: 1124072392License: 3960-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*

BEHM, Bryan J.Endodontic Specialists of WiSc(262) 842-7022Prov. No.: 0000128344187500 Green Bay Rd Ste 200 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1578841474License: 6710015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)BHIMJI, Sanaa N.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124966556430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: FemaleNPI: 1083165351License: 100144015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BIMARTHI, SavitaFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124444886430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: FemaleNPI: 1588017925License: 1001397-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BROCK, Lynne A.Endodontic Specialists of WiSc(262) 842-7022Prov. No.: 0000124585237500 Green Bay Rd Ste 200Kenosha, WI 53142Language: EnglishGender: FemaleNPI: 1699784421License: 439115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 842-7023Accepts New Patients: YHospital Affiliation: N/A*




Kenosha (Cont.)BROWN, NatalieDental Associates Ltd(262) 942-7000Prov. No.: 0000130368457117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1053896969License: 1001943License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

CHAHIL, JasjotFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000127827346430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1063910164License: 1001743License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

CHAUHAN, ShalabhFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125294796430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1497290043License: 1001466-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)CHEN, XiaoqiDental Associates Ltd(262) 942-7000Prov. No.: 0000130276737117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1053801944License: 1001911License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

CONNELL, David M.Kenosha Community HealthCenter(262) 656-0044Prov. No.: 0000011667126226 14th AveKenosha, WI 53143Language: English, SpanishGender: MaleNPI: 1245469253License: 6511-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*

CRAWFORD, Patrick J.Patrick J Crawford Dds Sc(262) 694-5191Prov. No.: 0000000989517851 Cooper RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1114014917License: 3916License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 694-8205Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)CREWE, David J.Crewe Dental(262) 694-2932Prov. No.: 0000000962153100 80th St Ste A �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1033236971License: 2714-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 694-3575Accepts New Patients: YHospital Affiliation: N/A*

DESAI, SajanDental Associates Ltd ofWisconsin(866) 811-4619Prov. No.: 0000129540197117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1447743455License: 1001920License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DISTEFANO, MichelleMichelle Distefano(262) 697-0072Prov. No.: 0000120393208500 75th St Ste 104Kenosha, WI 53142Language: English, German,SpanishGender: FemaleNPI: 1417113440License: 6990-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 697-6190Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)DONOWA, Carlton L.Dr Carlton L Donowa Dds(262) 656-0764Prov. No.: 0000002472746032 40th Ave �Kenosha, WI 53142Language: English, SpanishGender: MaleNPI: 1841287893License: 4819-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 656-1833Accepts New Patients: YHospital Affiliation: N/A*

ELDRIDGE, TomDental Care Kenosha(262) 238-1818Prov. No.: 0000127926596521 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1790053668License: 672315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (877) 335-3684Accepts New Patients: YHospital Affiliation: N/A*

FAHEY, Dennis J.Dennis J Fahey Dds Sc(262) 656-1588Prov. No.: 0000000531813917 47th Ave �Kenosha, WI 53144Language: EnglishGender: MaleNPI: 1942354113License: 5002155License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 656-1570Accepts New Patients: YHospital Affiliation: N/A*




Kenosha (Cont.)FAUST, Michael J.Forward Dental(262) 654-6800Prov. No.: 0000007103623620 57th Ave Ste 600Kenosha, WI 53144Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 657-9995Accepts New Patients: NHospital Affiliation: N/A*

FORCIOLI, Laurent J.Dental Associates Ltd(262) 942-7000Prov. No.: 0000128474837117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1083146823License: 1001545-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(262) 654-6800Prov. No.: 0000120329413620 57th Ave Ste 600Kenosha, WI 53144Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 657-9995Accepts New Patients: NHospital Affiliation: N/A*


Kenosha (Cont.)GONZALEZ, Cesar D.Forward Dental(262) 654-6800Prov. No.: 0000102172093620 57th Ave Ste 600Kenosha, WI 53144Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 657-9995Accepts New Patients: NHospital Affiliation: N/A*

GUTTORMSEN, Laura A.Guttormsen Dental Care(262) 654-2261Prov. No.: 0000126180086402 Sheridan RdKenosha, WI 53143Language: English, SpanishGender: FemaleNPI: 1790931293License: 6307License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 657-6933Accepts New Patients: YHospital Affiliation: N/A*

HAMAD, Hamad R.Dental Associates Ltd(262) 942-7000Prov. No.: 0000126464757117 Green Bay RdKenosha, WI 53142Language: Arabic, EnglishGender: MaleNPI: 1760908446License: 1001668-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)HERRSCHER, KathleenForward Dental(262) 654-6800Prov. No.: 0000006616133620 57th Ave Ste 600Kenosha, WI 53144Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 657-9995Accepts New Patients: NHospital Affiliation: N/A*

HUFF, Terry W.Terry W Huff Dds(262) 654-2261Prov. No.: 0000128568856402 Sheridan Rd �Kenosha, WI 53143Language: EnglishGender: MaleNPI: 1699973719License:License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 657-6933Accepts New Patients: YHospital Affiliation: N/A*

HURLEY, Amanda L.Dental Associates Ltd(262) 942-7000Prov. No.: 0000126364587117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1215466826License: 1001593-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)HUSSAIN, SadafDental Associates Ltd(262) 942-7000Prov. No.: 0000129271057117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1679095061License: 1001713-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

JANOVICZ, Peter T.Pete Janovicz Dds(262) 654-5815Prov. No.: 0000001577766638 Sheridan RdKenosha, WI 53143Language: EnglishGender: MaleNPI: 1932264132License: 4640License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

JAZWIECKI, Thomas R.Kenosha Community HealthCenter(262) 656-0044Prov. No.: 0000010764816226 14th AveKenosha, WI 53143Language: EnglishGender: MaleNPI: 1528295920License: 6413-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*




Kenosha (Cont.)JUNG, EdmundWisconsin Dental Group ScDba Forward Dental(262) 654-6800Prov. No.: 0000000760213620 57th Ave Ste 600Kenosha, WI 53144Language: EnglishGender: MaleNPI: 1053478115License: 1687-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 657-9995Accepts New Patients: NHospital Affiliation: N/A*

KACZYNSKI, ThomasKenosha Dentist(262) 244-0700Prov. No.: 0000126569745455 Sheridan Rd Ste 201Kenosha, WI 53140Language: English, Polish,SpanishGender: MaleNPI: 1790117299License: 1001639-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KANG, Tae H.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124966666430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: Chinese, English,Korean, SpanishGender: MaleNPI: 1255711693License: 100143415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)KAUR, SimerjeetFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000122426106430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: English, Hindi,PunjabiGender: FemaleNPI: 1629448170License: 1001211License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KHAN, Mujtaba B.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125022816430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1093260366License: 1001454License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KIM, Daniel Y.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000126146346430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1225571656License: 1001602-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)KISS, MihaiFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125618716430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1700334265License: 1001480License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KNOPP, Bruno A.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000130276326430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: English, Polish,Romanian, UkranianGender: MaleNPI: 1558344325License: 7164License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KUBICA, Joseph E.Joseph E Kubica Dds(262) 652-9083Prov. No.: 0000000803403311 Roosevelt RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1801837554License: 5001213-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 652-3755Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)LAKAYIL, Anne R.Applewhite Dental Wi Sc(262) 658-1410Prov. No.: 0000129200742600 22nd AveKenosha, WI 53140Language: EnglishGender: FemaleNPI: 1841786282License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LIN, KevinFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125066356430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: English, Farsi,SpanishGender: MaleNPI: 1639626955License: 100144115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

LIN, ShawnFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125023186430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: Chinese, English,MandarinGender: MaleNPI: 1003360272License: 1001444License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Kenosha (Cont.)MAHMOOD, Ola R.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124354526430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: FemaleNPI: 1437501301License: 1001386License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MALHOTRA, AnupamFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124622896430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: English, HindiGender: FemaleNPI: 1780036376License: 1001393License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MANOS, MarcDental Associates Ltd(262) 942-7000Prov. No.: 0000129395737117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1851772701License: 1001106License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)MANSOUR, Mohammed A.Dental Associates Ltd(262) 942-7000Prov. No.: 0000126048957117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

MARITATO, Mario B.Maritato Dental Llc(262) 657-0504Prov. No.: 0000001014255008 Green Bay Rd Ste 104 �Kenosha, WI 53144Language: EnglishGender: MaleNPI: 1649331695License: 3710-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MATHEW, Marilyn B.Kenosha Community HealthCenter Inc(262) 626-0044Prov. No.: 0000127200446226 14th AveKenosha, WI 53143Language: EnglishGender: FemaleNPI: 1831483650License: 1001024License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)MAZUCHOWSKI, Raymond J.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125137866430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1255875944License: 1001463-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MCMURRAY, Geoffrey L.Endodontic Specialists of WiSc(262) 842-7022Prov. No.: 0000128344987500 Green Bay Rd Ste 200 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1487969606License: 1001047-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

METCALF, Christopher A.Dental Associates Ltd(262) 942-7000Prov. No.: 0000129867237117 Green Bay RdKenosha, WI 53142Language: English, SpanishGender: MaleNPI: 1598047177License: 1001503-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)MIYAMASU, PatrickFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000122426136430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1992933915License: 100113License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MIYAMOTO, Courtney R.Dental Associates Ltd(262) 942-7000Prov. No.: 0000130684867117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1891271987License: 1001957License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

MOORE, Hazel E.Kenosha Community HealthCenter(262) 656-0044Prov. No.: 0000121141926226 14th AveKenosha, WI 53143Language: EnglishGender: FemaleNPI: 1114914066License: 3267-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*




Kenosha (Cont.)MORTON, Linnea E.Aiello Family Dental(262) 654-0257Prov. No.: 0000065117623415 30th Ave �Kenosha, WI 53144Language: EnglishGender: FemaleNPI: 1821439308License: 7128-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MURRAR, InasDental Associates Ltd(262) 942-7000Prov. No.: 0000125889947117 Green Bay RdKenosha, WI 53142Language: Arabic, EnglishGender: FemaleNPI: 1699192252License: 7240-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

NASTASE, DorinaFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000122426146430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: FemaleNPI: 1154707388License: 1001194License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)PAPE, Richard J.Dental Associates Ltd(262) 942-7000Prov. No.: 0000131765327117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

PARK, AidanFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125023576430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1639626450License: 100142115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PARK, SunjooFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124363386430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: FemaleNPI: 1467801258License: 1001347License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)POPA, MihaelaKenosha Community HealthCenter(262) 656-0044Prov. No.: 0000125503336226 14th AveKenosha, WI 53143Language: EnglishGender: FemaleNPI: 1013101047License: 687215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*

RAKOWSKY, Nina A.Dental Associates Ltd(262) 942-7000Prov. No.: 0000129589017117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1962980102License: 1001905-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

RANGNEKAR, Ishan R.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124227586430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1336597863License: 100129315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)REET KAUR, RaunaqFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124610906430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: FemaleNPI: 1932552189License: 1001400License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

RICKARD, Paul V.Dental Associates Ltd(262) 942-7000Prov. No.: 0000127941077117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Carlos M.Dental Associates Ltd(262) 942-7000Prov. No.: 0000129841987117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1932602182License: 1001937License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*




Kenosha (Cont.)RUZICKA, James F.Forward Dental(262) 654-6800Prov. No.: 0000000760133620 57th Ave Ste 600Kenosha, WI 53144Language: EnglishGender: MaleNPI: 1356493001License: 2840-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 657-9995Accepts New Patients: NHospital Affiliation: N/A*

SANDBERG, MatthewKenosha Community HealthCenter(262) 656-0044Prov. No.: 0000024527656226 14th AveKenosha, WI 53143Language: EnglishGender: MaleNPI: 1851617229License: 6664-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*

SEHRA, PamelaDental Associates Ltd(262) 942-7000Prov. No.: 0000126331637117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1922528157License: 1001627-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)SEYMOUR, CopelinDental Care Kenosha(262) 238-1818Prov. No.: 0000122314736521 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1861869158License: 100101915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (877) 335-3684Accepts New Patients: YHospital Affiliation: N/A*

SONG, DongFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000126443566430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1932625522License: 1001671-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

STOJANOVIC, ChristinaDental Associates Ltd(262) 942-7000Prov. No.: 0000126084477117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1871022236License: 1001605-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)STUMMER, Keith A.Keith A Stummer Dds(262) 694-2961Prov. No.: 0000001178213100 80th St Ste A �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1154473049License: 355615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TSANG, BryanFamilia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000126391806430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: Cantonese, EnglishGender: MaleNPI: 1356866974License: 1001661-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

VERMA, SachinKenosha Community HealthCenter(262) 656-0044Prov. No.: 0000125048196226 14th AveKenosha, WI 53143Language: English, Hindi,PunjabiGender: MaleNPI: 1497984157License: 6604-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)WARD, James T.Dental Associates Ltd(262) 942-7000Prov. No.: 0000129264937117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

WHITE, Mark A.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000124259226430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1114376225License: 1001296License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WIERZBICKI, Patrycja M.Kenosha Community HealthCenter Inc(262) 626-0044Prov. No.: 0000131555146226 14th AveKenosha, WI 53143Language: EnglishGender: FemaleNPI: 1861919862License: 1001960License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 925-1680Accepts New Patients: YHospital Affiliation: N/A*




Kenosha (Cont.)WORTH, Chris M.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125611486430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1184852998License: 1001462License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

YANG, Kwon C.Dental Associates Ltd(262) 942-7000Prov. No.: 0000129440117117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1801387501License: 1001872License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

Pleasant Prairie

BHATTAL, Gaganpreet K.Aspen Dental(262) 577-3000Prov. No.: 0000126340659800 76th St Ste 108Pleasant Prairie, WI 53158Language: EnglishGender: FemaleNPI: 1619499167License: 1001651License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Pleasant Prairie (Cont.)BUCHANAN, Edward A.Prairie Ridge Dental Care(262) 697-4222Prov. No.: 00001207822510288 77th St Ste 300Pleasant Prairie, WI 53158Language: EnglishGender: MaleNPI: 1790869790License: 4345-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

CHRISTOPHERSON, Abbey L.Aspen Dental(262) 577-3000Prov. No.: 0000128981769800 76th St Ste 108Pleasant Prairie, WI 53158Language: EnglishGender: FemaleNPI: 1083106553License: 1001840License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

HASSAN, Zubair U.Aspen Dental(262) 577-3000Prov. No.: 0000125801269800 76th St Ste 108Pleasant Prairie, WI 53158Language: English, SpanishGender: MaleNPI: 1942651591License: 1001370-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Pleasant Prairie (Cont.)HOLMES, Peter N.Aspen Dental(262) 577-3000Prov. No.: 0000129245919800 76th St Ste 108Pleasant Prairie, WI 53158Language: EnglishGender: MaleNPI: 1629560248License: 1001878License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

LECONTE, Jean E.Prairie Ridge Dental Care(262) 697-4222Prov. No.: 00001199993510288 77th St Ste 300Pleasant Prairie, WI 53158Language: EnglishGender: MaleNPI: 1699850602License: 4925-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MORTON, Linnea E.Aspen Dental(262) 577-3000Prov. No.: 0000122144959800 76th St Ste 108Pleasant Prairie, WI 53158Language: EnglishGender: FemaleNPI: 1821439308License: 7128-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Pleasant Prairie (Cont.)NOWEDER, AhmadPrairie Ridge Dental Care(262) 697-4222Prov. No.: 00001306801410288 77th St Ste 300Pleasant Prairie, WI 53158Language: EnglishGender: MaleNPI: 1538519368License: 1001335-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PANCZYSZYN, John M.Prairie Ridge Dental Care(262) 697-4222Prov. No.: 00001273154710288 77th St Ste 300Pleasant Prairie, WI 53158Language: EnglishGender: MaleNPI: 1629113543License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SEFTON, Valerie M.Aspen Dental(262) 577-3000Prov. No.: 0000127001909800 76th St Ste 108Pleasant Prairie, WI 53158Language: EnglishGender: FemaleNPI: 1316461569License: 1001676License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*




Silver Lake

JAZWIECKI, Thomas R.Kenosha Community HealthCenter IncProv. No.: 000013067169903 S 2nd StSilver Lake, WI 53170Language: EnglishGender: MaleNPI: 1528295920License: 6413-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Twin Lakes

ELAVIA, UpaliMidwest Dental(262) 877-2161Prov. No.: 000012979307330 E Main StTwin Lakes, WI 53181Language: EnglishGender: FemaleNPI: 1174008965License: 1001913License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 877-8514Accepts New Patients: YHospital Affiliation: N/A*

KEMPKEN, BruceBruce Kempken Dds(262) 877-3353Prov. No.: 000000113978348 E Main St �Twin Lakes, WI 53181Language: EnglishGender: MaleNPI: 1144300518License: 3193License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Twin Lakes (Cont.)LENZ, Mary F.Midwest Dental(262) 877-2161Prov. No.: 000012615693330 E Main StTwin Lakes, WI 53181Language: EnglishGender: FemaleNPI: 1477089415License: 1001552-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 877-8514Accepts New Patients: YHospital Affiliation: N/A*

LA CROSSE COUNTY

Holmen

BAKKE, Steven P.Midwest Dental(608) 526-9243Prov. No.: 000013062202106 S Holmen Dr �Holmen, WI 54636Language: EnglishGender: MaleNPI: 1548363195License: 5621License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 526-1099Accepts New Patients: YHospital Affiliation: N/A*

BEHRENS, LeroyMidwest Dental(608) 526-9243Prov. No.: 000013002049106 S Holmen Dr �Holmen, WI 54636Language: EnglishGender: MaleNPI: 1144323171License: 5001897-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 526-1099Accepts New Patients: YHospital Affiliation: N/A*

LA CROSSE COUNTY (Cont.)

Holmen (Cont.)BROWN, Michael J.Midwest Dental(608) 526-9243Prov. No.: 000012243403106 S Holmen Dr �Holmen, WI 54636Language: EnglishGender: MaleNPI: 1396005237License: 6981-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 526-1099Accepts New Patients: YHospital Affiliation: N/A*

COLVIN, Michael J.Midwest Dental(608) 526-9243Prov. No.: 000013015661106 S Holmen Dr �Holmen, WI 54636Language: EnglishGender: MaleNPI: 1396836607License: 2933-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 526-1099Accepts New Patients: YHospital Affiliation: N/A*

KRISTO, Steven J.Great River OrthodonticSpecialists Sc(608) 526-6771Prov. No.: 000012848747500 N Holmen DrHolmen, WI 54636Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Holmen (Cont.)LANGEBERG, Allen D.Midwest Dental(608) 526-9243Prov. No.: 000012908284106 S Holmen Dr �Holmen, WI 54636Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 526-1099Accepts New Patients: YHospital Affiliation: N/A*

SAQA, Rami M.Midwest Dental(608) 526-9243Prov. No.: 000013024051106 S Holmen Dr �Holmen, WI 54636Language: EnglishGender: MaleNPI: 1770922429License: 1001495-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 526-1099Accepts New Patients: YHospital Affiliation: N/A*

La Crosse

BRUMMETT, Mary F.Midwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000129564111600 Losey Blvd SLa Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1124130752License: 1001787-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*




La Crosse (Cont.)COLVIN, Michael J.Midwest Dental(608) 782-4751Prov. No.: 00001265757120 Copeland Ave Ste 201La Crosse, WI 54603Language: EnglishGender: MaleNPI: 1396836607License: 2933-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

COLVIN, Michael J.Midwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000130020471600 Losey Blvd SLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1396836607License: 2933-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*

COPPS, Melissa J.Maplewood Dental OnalaskaLlc(608) 783-7330Prov. No.: 0000002498212830 Darling CtLa Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1679649719License: 5696-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 783-5082Accepts New Patients: NHospital Affiliation: N/A*


La Crosse (Cont.)DAVIS, Bruce K.Bruce K Davis(608) 788-7160Prov. No.: 0000121329242350 South AveLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1295807246License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DETARI, Brian D.Midwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000129698881600 Losey Blvd SLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1619950573License: 100126615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*

D’HONDT, Michael T.Driftiess Dental Care(608) 787-1700Prov. No.: 0000127385483143 State Rd Ste 200La Crosse, WI 54601Language: EnglishGender: MaleNPI: 1295147635License: 724815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


La Crosse (Cont.)DINGMAN, John T.John T Dingman Dds(608) 782-2832Prov. No.: 0000001112491025 King StLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1518989060License: 500146215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 784-8151Accepts New Patients: YHospital Affiliation: N/A*

GIANNELLI, Carolyn M.Neighborhood Smiles ofLacrosse Llc(608) 424-3222Prov. No.: 0000128996393143 State Rd Ste 201La Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1184718827License: 1001692-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GREENSLADE, Andrew C.Midwest Dental(608) 782-4751Prov. No.: 00001289750520 Copeland Ave Ste 201La Crosse, WI 54603Language: EnglishGender: MaleNPI: 1740776335License: 1001886-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


La Crosse (Cont.)GREMBAN, Daniel P.Maplewood Dental OnalaskaLlc(608) 783-7330Prov. No.: 0000128769842830 Darling CtLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1528229127License: 319515License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 783-5082Accepts New Patients: YHospital Affiliation: N/A*

GROH, KatelynMidwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000128713821600 Losey Blvd SLa Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1235620535License: 1001797License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*

HALVERSON, Kristine L.Maplewood Dental OnalaskaLlc(608) 783-7330Prov. No.: 0000012504812830 Darling CtLa Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1649489790License: 614315License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 783-5082Accepts New Patients: NHospital Affiliation: N/A*




La Crosse (Cont.)KAUFMAN, Robert J.Midwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000129772311600 Losey Blvd SLa Crosse, WI 54601Language: English, HebrewGender: MaleNPI: 1437138906License: 1001762-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*

REYERSON, HeatherMark A Werner Dds(608) 782-2812Prov. No.: 0000003535852030 7th St SLa Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1003824525License: 525615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHUSTER, Frederica H.Midwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000129668871600 Losey Blvd SLa Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1639179245License: 4411-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*


La Crosse (Cont.)SCHWIND, CourtneyLa Crosse Pediatric Dentistry(608) 782-4054Prov. No.: 0000125839912 Copeland Ave Ste 203La Crosse, WI 54603Language: EnglishGender: FemaleNPI: 1386095271License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SEDLOCK, JeffreyJeffrey Sedlock Dds(608) 782-3003Prov. No.: 000000137882201 7th St SLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1801906284License: 4418-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 782-6379Accepts New Patients: YHospital Affiliation: N/A*

SERFLEK, Joseph C.Midwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000128678471600 Losey Blvd SLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1881764983License: 5001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*


La Crosse (Cont.)SPITZER, Karen D.Neighborhood Smiles ofLacrosse(608) 399-2054Prov. No.: 0000000536663143 State Rd Ste 100 �La Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1316030091License: 3635-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 788-6949Accepts New Patients: YHospital Affiliation: N/A*

STEIDLEY, Kenneth E.Midwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000130374881600 Losey Blvd SLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1609908599License: 1001249License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*

UKER, Joseph D.Midwest Dental CareMondovi Inc(608) 782-8834Prov. No.: 0000069621751600 Losey Blvd SLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1649569161License: 6868License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 782-5223Accepts New Patients: YHospital Affiliation: N/A*


La Crosse (Cont.)UTLEY, Jerry L.Midwest Dental(608) 788-1090Prov. No.: 0000003121691212 Horton StLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1780803361License: 6072-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WERNER, Mark A.Mark A Werner Dds(608) 782-2812Prov. No.: 0000001027482030 7th St SLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1619987500License: 5000480License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

YAKOWICZ, Ryan J.Neighborhood Smiles of LaCrosse Llc(608) 788-6939Prov. No.: 0000127715033143 State Rd Ste 201La Crosse, WI 54601Language: EnglishGender: MaleNPI: 1780992040License: 6606License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Onalaska

ABDELRAHIM, Adham F.Aspen Dental(608) 783-5800Prov. No.: 0000125305283132 Market PlOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1962801738License: 1000992License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

ANTONOFF, Kenneth E.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000125715403132 Market Pl Ste 300Onalaska, WI 54650Language: EnglishGender: MaleNPI: 1205842721License: 6823License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

COLVIN, Michael J.Michael Colvin(608) 783-8390Prov. No.: 000012035878300 Main StOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1396836607License: 2933-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 783-8385Accepts New Patients: YHospital Affiliation: N/A*


Onalaska (Cont.)HOFFMANN, Edward W.Aspen Dental(608) 783-5800Prov. No.: 0000126801473132 Market PlOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

JONASEN, Tiffany L.Aspen Dental(608) 783-5800Prov. No.: 0000129268143132 Market PlOnalaska, WI 54650Language: EnglishGender: FemaleNPI: 1275727000License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

KAPOOR, Tarnit S.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000122259483132 Market PlOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1700269388License: 100115415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Onalaska (Cont.)KIM, SoheeAspen Dental(608) 783-5800Prov. No.: 0000126162733132 Market PlOnalaska, WI 54650Language: EnglishGender: FemaleNPI: 1316467517License: 1001610-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

KREAGER, Nathanael J.Aspen Dental(608) 783-5800Prov. No.: 0000125300923132 Market PlOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1689012320License: 7154-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

KRISTO, Steven J.Great River OrthodonticSpecialists Sc(800) 203-9067Prov. No.: 0000128506561845 E Main StOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Onalaska (Cont.)LEE, Jong S.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000129743103132 Market Pl Ste 300Onalaska, WI 54650Language: EnglishGender: MaleNPI: 1124305057License: 6842License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MONTATSKIY, MaksimApollonia Dental Llc(315) 454-6000Prov. No.: 0000129742743132 Market Pl Ste 300Onalaska, WI 54650Language: English, RussianGender: MaleNPI: 1851771703License: 1001127License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MORTON, Linnea E.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000122143183132 Market PlOnalaska, WI 54650Language: EnglishGender: FemaleNPI: 1821439308License: 7128-15License Type: DBP DentistBoard Certified: NEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*




Onalaska (Cont.)OCHSNER, Richard J.Neighborhood Smiles ofOnalaska Llc(608) 783-6384Prov. No.: 0000121879181831 E Main St �Onalaska, WI 54650Language: EnglishGender: MaleNPI: 1982045795License: 100107515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 781-2111Accepts New Patients: YHospital Affiliation: N/A*

PARK, Jeong Eun E.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000129742903132 Market Pl Ste 300Onalaska, WI 54650Language: EnglishGender: FemaleNPI: 1710396361License: 1000983-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PARKER, Brent D.Neighborhood Smiles ofOnalaska(608) 519-4700Prov. No.: 0000066615891831 E Main St �Onalaska, WI 54650Language: EnglishGender: MaleNPI: 1376855098License: 6545-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Onalaska (Cont.)PETERSON, Austin M.Aspen Dental(608) 783-5800Prov. No.: 0000129456243132 Market PlOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1639650187License: 1001921License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

PHILIP, Rita D.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000129742863132 Market Pl Ste 300Onalaska, WI 54650Language: EnglishGender: MaleNPI: 1245410984License: 1001144License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SOCIAS, Laura M.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000126072453132 Market Pl Ste 300Onalaska, WI 54650Language: EnglishGender: FemaleNPI: 1255634499License: 6635-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Onalaska (Cont.)USS, Michael W.Michael W Uss Dds(608) 783-6421Prov. No.: 0000000382331024 Main St �Onalaska, WI 54650Language: EnglishGender: MaleNPI: 1699786533License: 1677015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

VANDE WALLE, Torey J.Michael Colvin(608) 783-8390Prov. No.: 000012599526300 Main StOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1952839854License: 1001518-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 783-8385Accepts New Patients: YHospital Affiliation: N/A*

VOSSEN, Nicole R.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000129742933132 Market Pl Ste 300Onalaska, WI 54650Language: EnglishGender: FemaleNPI: 1902066038License: 6210-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Onalaska (Cont.)WALDEN, Bradley C.Apollonia Dental Llc(315) 454-6000Prov. No.: 0000129743113132 Market Pl Ste 300Onalaska, WI 54650Language: EnglishGender: MaleNPI: 1841413465License: 626215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

West Salem

KRISTO, Steven J.Great River OrthodonticSpecialists Sc(608) 612-0249Prov. No.: 0000128506571403 Waterloo AveWest Salem, WI 54669Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHIH, Priscilla H.Neighborhood Smiles of WestSalem Llc(608) 786-0909Prov. No.: 0000120665021403 Waterloo AveWest Salem, WI 54669Language: EnglishGender: FemaleNPI: 1487764767License: 5953-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 786-4999Accepts New Patients: YHospital Affiliation: N/A*



LAFAYETTE COUNTY

Darlington

GREENWALDT, ChristopherCommunity Health SystemsInc(608) 776-2082Prov. No.: 000012551961435 Main StDarlington, WI 53530Language: EnglishGender: MaleNPI: 1467849679License: 1001283License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

HOPKINS, TracyCommunity Health SystemsInc(608) 776-2082Prov. No.: 000011550859435 Main StDarlington, WI 53530Language: EnglishGender: MaleNPI: 1821072695License: 5097-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MANTAS, Selissa M.Community Health SystemsInc(608) 776-2082Prov. No.: 000012551962435 Main StDarlington, WI 53530Language: EnglishGender: FemaleNPI: 1114309085License: 100110715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LINCOLN COUNTY

Merrill

BAILEY, Tamara L.Quirt Family Dentistry -Merrill(715) 536-9628Prov. No.: 0000121071882812 E Main St �Merrill, WI 54452Language: EnglishGender: FemaleNPI: 1073536579License: 5785-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 536-9592Accepts New Patients: NHospital Affiliation: N/A*

BIRR, Elizabeth R.Quirt Family Dentistry -Merrill(715) 536-9628Prov. No.: 0000121496652812 E Main St �Merrill, WI 54452Language: EnglishGender: FemaleNPI: 1063648970License: 6400-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 536-9592Accepts New Patients: NHospital Affiliation: N/A*

BOSWELL, CharlesMidwest Dental(715) 536-8345Prov. No.: 0000132375373424 E Main StMerrill, WI 54452Language: EnglishGender: MaleNPI: 1780750414License: 1002014License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

LINCOLN COUNTY (Cont.)

Merrill (Cont.)DEMILLE, Steven B.Oakpark Dental - Merrill Llc(715) 539-0441Prov. No.: 0000002063962402 E Main St Ste 8 �Merrill, WI 54452Language: EnglishGender: MaleNPI: 1275601940License: 5377-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 539-0983Accepts New Patients: NHospital Affiliation: N/A*

DETARI, Brian D.Midwest Dental(715) 536-8345Prov. No.: 0000129455343424 E Main StMerrill, WI 54452Language: EnglishGender: MaleNPI: 1619950573License: 100126615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

FERRARO, Joseph C.Quirt Family Dentistry -Merrill(715) 536-9628Prov. No.: 0000035895262812 E Main St �Merrill, WI 54452Language: EnglishGender: MaleNPI: 1477583870License: 3312-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 536-9592Accepts New Patients: NHospital Affiliation: N/A*


Merrill (Cont.)GIBSON, Michael D.Midwest Dental(715) 536-8345Prov. No.: 0000122923313424 E Main StMerrill, WI 54452Language: EnglishGender: MaleNPI: 1114090131License: 2855-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

HEHLI, Todd A.Oakpark Dental - Merrill Llc(715) 539-0441Prov. No.: 0000003884122402 E Main St Ste 8 �Merrill, WI 54452Language: EnglishGender: MaleNPI: 1922160498License: 4060-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 539-0983Accepts New Patients: NHospital Affiliation: N/A*

HEYDARI, EllieMidwest Dental(715) 536-8345Prov. No.: 0000130234333424 E Main StMerrill, WI 54452Language: EnglishGender: FemaleNPI: 1518137652License: 7252-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*




Merrill (Cont.)KAUFMAN, Robert J.Midwest Dental(715) 536-8345Prov. No.: 0000129772333424 E Main StMerrill, WI 54452Language: English, HebrewGender: MaleNPI: 1437138906License: 1001762-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

LANGEBERG, Allen D.Midwest Dental(715) 536-8345Prov. No.: 0000125886103424 E Main StMerrill, WI 54452Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

LONG, Edward R.Oakpark Dental - Merrill Llc(715) 539-0441Prov. No.: 0000003649332402 E Main St Ste 8 �Merrill, WI 54452Language: EnglishGender: MaleNPI: 1235321555License: 5766-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 539-0983Accepts New Patients: NHospital Affiliation: N/A*


Merrill (Cont.)PIERCE, Lewis H.Midwest Dental(715) 536-8345Prov. No.: 0000122037503424 E Main StMerrill, WI 54452Language: EnglishGender: MaleNPI: 1902170145License: 100106015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

QUIRT, Benjamin D.Quirt Family Dentistry -Merrill(715) 536-9628Prov. No.: 0000003325722812 E Main St �Merrill, WI 54452Language: EnglishGender: MaleNPI: 1992918676License: 5502-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 536-9592Accepts New Patients: YHospital Affiliation: N/A*

QUIRT, Timothy J.Quirt Family Dentistry -Merrill(715) 536-9628Prov. No.: 0000003738582812 E Main St �Merrill, WI 54452Language: EnglishGender: MaleNPI: 1326251091License: 5987-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 536-9592Accepts New Patients: NHospital Affiliation: N/A*


Merrill (Cont.)SCHUSTER, Frederica H.Midwest Dental(715) 536-8345Prov. No.: 0000128836153424 E Main StMerrill, WI 54452Language: EnglishGender: FemaleNPI: 1639179245License: 4411-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

SENGER, Daniel L.Midwest Dental(715) 536-8345Prov. No.: 0000129018673424 E Main StMerrill, WI 54452Language: EnglishGender: MaleNPI: 1710090741License: 500149115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

SIERRA, Jose A.Midwest Dental(715) 536-8345Prov. No.: 0000131221323424 E Main StMerrill, WI 54452Language: English, SpanishGender: MaleNPI: 1386095503License: 1001424-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*


Merrill (Cont.)SPAIN, Daniel L.Midwest Dental(715) 536-8345Prov. No.: 0000129455893424 E Main StMerrill, WI 54452Language: EnglishGender: MaleNPI: 1871799874License: 100126215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Midwest Dental(715) 536-8345Prov. No.: 0000128657043424 E Main StMerrill, WI 54452Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 539-3333Accepts New Patients: YHospital Affiliation: N/A*

MANITOWOC COUNTY

Manitowoc

BENNETT, Christina M.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000129081162719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1730674664License: 1001867License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*



MANITOWOC COUNTY (Cont.)

Manitowoc (Cont.)BERO, William J.Midwest Dental(920) 684-9253Prov. No.: 0000001276952102 Marshall StManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1114031200License: 3246-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 684-5250Accepts New Patients: YHospital Affiliation: N/A*

BOETTCHER, DanielDental Park Sc(920) 682-0321Prov. No.: 0000006312861503 Randolph CtManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1801889043License: 4609-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CALLEIA, Gregory C.Lakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000128574582719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1134144371License: 1001644License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)CHRISTOPHERSON, Abbey L.Aspen Dental(920) 686-3800Prov. No.: 0000128981734125 Harbor Town LnManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1083106553License: 1001840License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CRISTI, IvonaLakeshore Community HealthCare(920) 686-2333Prov. No.: 0000130310422719 Calumet AveManitowoc, WI 54220Language: English, French,RomanianGender: FemaleNPI: 1619125333License: 100143015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

CULLIGAN, MatthewDental Park Sc(920) 682-0321Prov. No.: 0000002474421503 Randolph CtManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1710970967License: 5866-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)DARNIEDER, Maura R.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000127448412719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1912364241License: 1001255-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

DE CZITO, Brigitta M.Midwest Dental(920) 683-2101Prov. No.: 0000125747874144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1396015822License: 1001288-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

DESIMONE, Alfred J.Midwest Dental(920) 683-2101Prov. No.: 0000001919324144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1700915139License: 5468-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)DETARI, Brian D.Midwest Dental(920) 683-2101Prov. No.: 0000129455364144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1619950573License: 100126615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

EGAN, RonaldFamily Dental Center Sc(920) 684-8033Prov. No.: 0000000629173712 Kadow St �Manitowoc, WI 54220Language: English, Hmong,SpanishGender: MaleNPI: 1588685028License: 3890-15License Type: DBP DentistBoard Certified: NEmail: [email protected] omFax: (920) 684-5824Accepts New Patients: YHospital Affiliation: N/A*

GAINEY, TimothyLakeshore Community Health(920) 783-6633Prov. No.: 000012161071601 Buffalo StManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1932589678License: 1001085License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Manitowoc (Cont.)GAINEY, TimothyLakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000126387402719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1932589678License: 1001085License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, Reyna G.Lakeshore Community Health(920) 783-6633Prov. No.: 000012458135601 Buffalo StManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1760830228License: 100134015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, Reyna G.Lakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000126387412719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1760830228License: 100134015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)GRECH, Alexander W.Midwest Dental(920) 683-2101Prov. No.: 0000130449304144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1346379799License: 517115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

GRODDY, Steven M.Dental Park Sc(920) 682-0321Prov. No.: 0000001123181503 Randolph CtManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1699768853License: 4077-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HASSAN, Zubair U.Aspen Dental(920) 686-3800Prov. No.: 0000124624964125 Harbor Town LnManitowoc, WI 54220Language: English, SpanishGender: MaleNPI: 1942651591License: 1001370-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)HOFFMANN, Edward W.Aspen Dental(920) 686-3800Prov. No.: 0000124235544125 Harbor Town LnManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOLMES, Peter N.Aspen Dental(920) 686-3800Prov. No.: 0000129099864125 Harbor Town LnManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1629560248License: 1001878License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOLSTEEN, DanielMidwest Dental(920) 683-2101Prov. No.: 0000130235444144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1912991779License: 1001972License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)HUNTER, Craig J.Midwest Dental(920) 683-2101Prov. No.: 0000120173884144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1740390814License: 2752-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

KAUFMAN, Robert J.Midwest Dental(920) 683-2101Prov. No.: 0000130369904144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: English, HebrewGender: MaleNPI: 1437138906License: 1001762-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

KISSNER, Thomas E.Lakeshore Community Health(920) 783-6633Prov. No.: 000012073519601 Buffalo StManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1033276373License: 4976-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Manitowoc (Cont.)KISSNER, Thomas E.Lakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000126360782719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1033276373License: 4976-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

MEYER, James P.Midwest Dental(920) 683-2101Prov. No.: 0000122355254144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1215066626License: 411515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

MORRISON, Lauren A.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000129081152719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1477048411License: 1001847License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)MORTON, Linnea E.Aspen Dental(920) 686-3800Prov. No.: 0000122144844125 Harbor Town LnManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1821439308License: 7128-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

NEU, Natalie R.Lakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000130252782719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1164593893License: 5768License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

OLNEY, Courtenay L.Midwest Dental(920) 684-9253Prov. No.: 0000125903092102 Marshall StManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1841320751License: 1001286-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 684-5250Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)OPHEIM, Kara L.Rlj Dental Sc(920) 682-3522Prov. No.: 0000127333562500 Washington St �Manitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1306257134License: 1000957-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 682-5842Accepts New Patients: YHospital Affiliation: N/A*

PAULY, Katherine L.Lakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000127680812719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1215381009License: 1001375-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PETTY, John A.Rlj Dental Sc(920) 682-3522Prov. No.: 0000125858372500 Washington St �Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 682-5842Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)PIERCE, Lewis H.Midwest Dental(920) 683-2101Prov. No.: 0000125607134144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1902170145License: 100106015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

QABLAWI, BahaMidwest Dental(920) 683-2101Prov. No.: 0000132603954144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1568946390License: 1002039License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

REED, John F.Lakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000129443662719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1053469676License: 3877License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*




Manitowoc (Cont.)RICKARD, Paul V.Midwest Dental(920) 684-9253Prov. No.: 0000126929862102 Marshall StManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 684-5250Accepts New Patients: YHospital Affiliation: N/A*

ROSENBERG III, Neal F.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000127771112719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1447659644License: 1000990License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

SABEL, NicholasMdc Manitowoc Llc(920) 682-0115Prov. No.: 00001205376033 E Waldo BlvdManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1639354954License: 636215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 682-0117Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)SCHULER, Ethan J.Lakeshore Community Health(920) 783-6633Prov. No.: 000012614527601 Buffalo StManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1649708546License: 1001561-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHULER, Ethan J.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000126145282719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1649708546License: 1001561-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

SCHUSTER, Frederica H.Midwest Dental(920) 683-2101Prov. No.: 0000131127724144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1639179245License: 4411-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)SEFTON, Valerie M.Aspen Dental(920) 686-3800Prov. No.: 0000127537974125 Harbor Town LnManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1316461569License: 1001676License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Nancy L.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000130386692719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1164595195License: 1001726License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

SPAIN, Daniel L.Midwest Dental(920) 683-2101Prov. No.: 0000130607584144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1871799874License: 100126215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)STEINERT, Peter J.Midwest Dental(920) 683-2101Prov. No.: 0000124520994144 Harbor Town Ln Ste 600Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1639258577License: 425515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 683-9701Accepts New Patients: YHospital Affiliation: N/A*

STOCKHEIMER, Cole J.Rlj Dental Sc(920) 682-3522Prov. No.: 0000130917362500 Washington St �Manitowoc, WI 54220Language: EnglishGender: MaleNPI: 1992089866License: 6732License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 682-5842Accepts New Patients: YHospital Affiliation: N/A*

STREAM, Tara F.Lakeshore Community Health(920) 783-6633Prov. No.: 000012186073601 Buffalo StManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1851703458License: 7234-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Manitowoc (Cont.)STREAM, Tara F.Dental Park Sc(920) 682-0321Prov. No.: 0000122190321503 Randolph CtManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1851703458License: 7234-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STREAM, Tara F.Lakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000126387432719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1851703458License: 7234-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

TOWNSEND, Ronald J.Lakeshore Community Health(920) 783-6633Prov. No.: 000012589728601 Buffalo StManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1154661411License: 1001479-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)TOWNSEND, Ronald J.Lakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000126387442719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1154661411License: 1001479-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

VRANEY, ChelseaMdc Manitowoc Llc(920) 682-0115Prov. No.: 00001247055233 E Waldo BlvdManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1033597182License: 1001279-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 682-0117Accepts New Patients: YHospital Affiliation: N/A*

WALSH, AshleyLakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000126379202719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1811377054License: 1001653-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)WARENS, Israel J.Aspen Dental(920) 686-3800Prov. No.: 0000127206284125 Harbor Town LnManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1336585231License: 1001711License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WILLDING, Robert S.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000129670162719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1821292806License: 5001090License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

WILSON, CaseyLakeshore Community Health(920) 783-6633Prov. No.: 000012186072601 Buffalo StManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1164833562License: 724415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)WILSON, CaseyLakeshore Community HealthCare Inc(920) 686-2333Prov. No.: 0000126387452719 Calumet AveManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1164833562License: 724415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

XIONG, Mai J.Lakeshore Community Health(920) 783-6633Prov. No.: 000012436480601 Buffalo StManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1861703365License: 667115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

XIONG, Mai J.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000126387462719 Calumet AveManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1861703365License: 667115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*



MARATHON COUNTY

Edgar

ABRAHAM, ReenaQuirt Family Dentistry Sc(715) 352-3800Prov. No.: 000012042418107 S 3rd Ave �Edgar, WI 54426Language: EnglishGender: FemaleNPI: 1457589491License: 658015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-3268Accepts New Patients: YHospital Affiliation: N/A*

BAILEY, Tamara L.Quirt Family Dentistry Sc(715) 352-3800Prov. No.: 000012107193107 S 3rd Ave �Edgar, WI 54426Language: EnglishGender: FemaleNPI: 1073536579License: 5785-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-3268Accepts New Patients: YHospital Affiliation: N/A*

BINZAK, Daniel E.Quirt Family Dentistry Sc(715) 352-3800Prov. No.: 000004473849107 S 3rd Ave �Edgar, WI 54426Language: EnglishGender: MaleNPI: 1104084490License: 3396-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 352-3268Accepts New Patients: YHospital Affiliation: N/A*

MARATHON COUNTY (Cont.)

Edgar (Cont.)BIRR, Elizabeth R.Quirt Family Dentistry Sc(715) 352-3800Prov. No.: 000012149576107 S 3rd Ave �Edgar, WI 54426Language: EnglishGender: FemaleNPI: 1063648970License: 6400-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-3268Accepts New Patients: YHospital Affiliation: N/A*

BROWN, David J.Quirt Family Dentistry Sc(715) 352-3800Prov. No.: 000012134188107 S 3rd Ave �Edgar, WI 54426Language: EnglishGender: MaleNPI: 1013036433License: 5318-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-3268Accepts New Patients: YHospital Affiliation: N/A*

CRONKRITE, John G.Szmanda Dental Center(715) 352-2700Prov. No.: 000012232691107 S 3rd AveEdgar, WI 54426Language: EnglishGender: MaleNPI: 1740274422License: 500168815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-2168Accepts New Patients: NHospital Affiliation: N/A*


Edgar (Cont.)FELKNER, John L.Szmanda Dental Center(715) 352-2700Prov. No.: A00000020761107 S 3rd AveEdgar, WI 54426Language: EnglishGender: MaleNPI: 1710016167License: 5001554-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 352-2168Accepts New Patients: NHospital Affiliation: N/A*

FERRARO, Joseph C.Quirt Family Dentistry Sc(715) 352-3800Prov. No.: 000003589523107 S 3rd Ave �Edgar, WI 54426Language: EnglishGender: MaleNPI: 1477583870License: 3312-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-3268Accepts New Patients: YHospital Affiliation: N/A*

GAUTHIER, Benjamin J.Quirt Family Dentistry Sc(715) 352-3800Prov. No.: 000008360306107 S 3rd Ave �Edgar, WI 54426Language: EnglishGender: MaleNPI: 1740599455License: 6618-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 352-3268Accepts New Patients: YHospital Affiliation: N/A*


Edgar (Cont.)JOINER, Perry L.Quirt Family Dentistry Sc(715) 352-3800Prov. No.: 000006811566107 S 3rd Ave �Edgar, WI 54426Language: EnglishGender: MaleNPI: 1841639853License: 7100-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-3268Accepts New Patients: YHospital Affiliation: N/A*

PREHN, RonaldSzmanda Dental Center(715) 352-2700Prov. No.: 000012845929107 S 3rd AveEdgar, WI 54426Language: EnglishGender: MaleNPI: 1700085933License: 3010License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-2168Accepts New Patients: YHospital Affiliation: N/A*

SCHULKE, Yvonne L.Szmanda Dental Center(715) 352-2700Prov. No.: 000012433121107 S 3rd AveEdgar, WI 54426Language: EnglishGender: FemaleNPI: 1275995268License: 100129815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 352-2168Accepts New Patients: NHospital Affiliation: N/A*




Kronenwetter

DREGER, Ross A.Cedar Creek Dental Wi S C(715) 359-0550Prov. No.: 0000001831471851 County Road Xx �Kronenwetter, WI 54455Language: EnglishGender: MaleNPI: 1043239130License: 4378-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 355-5790Accepts New Patients: YHospital Affiliation: N/A*

NATION, Anthony T.Cedar Creek Dental Wi S C(715) 359-0550Prov. No.: 0000126193961851 County Road Xx �Kronenwetter, WI 54455Language: English, SpanishGender: MaleNPI: 1043694268License: 1001501-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 355-5790Accepts New Patients: YHospital Affiliation: N/A*

Marathon

CRONKRITE, John G.Szamanda Dental Center(715) 443-2247Prov. No.: 000012232692601 Main StMarathon, WI 54448Language: EnglishGender: MaleNPI: 1740274422License: 500168815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 443-2454Accepts New Patients: YHospital Affiliation: N/A*


Marathon (Cont.)FELKNER, John L.Szamanda Dental Center(715) 443-2247Prov. No.: 000011771458601 Main StMarathon, WI 54448Language: EnglishGender: MaleNPI: 1710016167License: 5001554-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 443-2454Accepts New Patients: YHospital Affiliation: N/A*

PREHN, RonaldSzamanda Dental Center(715) 443-2247Prov. No.: 000012845928601 Main StMarathon, WI 54448Language: EnglishGender: MaleNPI: 1700085933License: 3010License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 443-2454Accepts New Patients: YHospital Affiliation: N/A*

SCHULKE, Yvonne L.Szamanda Dental Center(715) 443-2247Prov. No.: 000012440455601 Main StMarathon, WI 54448Language: EnglishGender: FemaleNPI: 1275995268License: 100129815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 443-2454Accepts New Patients: YHospital Affiliation: N/A*


Marathon (Cont.)SCHULTZ, Corey R.Marathon Family Dentistry(715) 443-2200Prov. No.: 000012825114981 Blue Stone LnMarathon, WI 54448Language: EnglishGender: MaleNPI: 1558761908License: 1001753License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 443-3749Accepts New Patients: YHospital Affiliation: N/A*

SOBOLEWSKI, James A.Szamanda Dental Center(715) 443-2247Prov. No.: 000011771460601 Main StMarathon, WI 54448Language: EnglishGender: MaleNPI: 1457343055License: 34282-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 443-2454Accepts New Patients: YHospital Affiliation: N/A*

SZMANDA, Paul W.Szamanda Dental Center(715) 443-2247Prov. No.: 000011550911601 Main StMarathon, WI 54448Language: EnglishGender: MaleNPI: 1336230440License: 3262License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 443-2454Accepts New Patients: YHospital Affiliation: N/A*


Mosinee

MESSNER, Rodney A.Smiles On Main(715) 693-2503Prov. No.: 000012893458212 Main StMosinee, WI 54455Language: EnglishGender: MaleNPI: 1043399538License: 5971-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Rothschild

SKUTAK, Lisa M.Skutak Dental Sc(715) 355-4433Prov. No.: 000000270860700 Eagle Nest Blvd Ste E �Rothschild, WI 54474Language: EnglishGender: FemaleNPI: 1326181322License: 5176-15License Type: DBP DentistBoard Certified: NEmail: info@skutakdental. comFax: (715) 355-4414Accepts New Patients: YHospital Affiliation: N/A*

Schofield

BAILEY, Tamara L.Quirt Family Dentistry -Schofield(715) 355-5570Prov. No.: 0000120965063417 Schofield Ave �Schofield, WI 54476Language: EnglishGender: FemaleNPI: 1073536579License: 5785-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 241-8171Accepts New Patients: NHospital Affiliation: N/A*




Schofield (Cont.)RAHNAMAYI, RoyaEveryones Family DentalWeston Llc(773) 610-1041Prov. No.: 0000125875052809 Schofield AveSchofield, WI 54476Language: EnglishGender: FemaleNPI: 1891171807License: 1001491-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SWEIS, Jubrail K.Everyones Family DentalWeston Llc(773) 610-1041Prov. No.: 0000125408342809 Schofield AveSchofield, WI 54476Language: EnglishGender: MaleNPI: 1043506496License: 1001408License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Stratford

BRUCE, Paul E.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012439873429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1710936133License: 4890-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Stratford (Cont.)GIBSON, Michael D.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012311601429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1114090131License: 2855-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GODAR, Dennis E.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012440233429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1336186477License: 3412-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MCEWEN, Kevin D.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012439811429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1245277383License: 4975-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Stratford (Cont.)MCNEELY, Andrea J.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012438329429 N 3rd AveStratford, WI 54484Language: EnglishGender: FemaleNPI: 1265633978License: 6126-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MUELLER, Rick M.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012437636429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1891732947License: 3982-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RAASCH, Christopher T.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012438362429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1437108511License: 4159-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Stratford (Cont.)RODRIGUEZ QUESA, Jose A.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012486006429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1245277276License: 5012-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SUAREZ, CynthiaDental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012439986429 N 3rd AveStratford, WI 54484Language: EnglishGender: FemaleNPI: 1962451781License: 5022-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012478264429 N 3rd AveStratford, WI 54484Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Wausau

AICHER, David J.David J Aicher(715) 842-3321Prov. No.: 000000163899617 Jackson StWausau, WI 54403Language: EnglishGender: MaleNPI: 1609967686License: 4043License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BAILEY, Tamara L.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000012107189200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: FemaleNPI: 1073536579License: 5785-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: NHospital Affiliation: N/A*

BEARJAR, Vincent E.Dental Options(715) 842-5691Prov. No.: 0000001722672600 Stewart Ave Ste 158Wausau, WI 54401Language: EnglishGender: MaleNPI: 1821040981License: 2398-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)BIRR, Elizabeth R.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000012149678200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: FemaleNPI: 1063648970License: 6400-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: NHospital Affiliation: N/A*

BUCHANAN, Melanie K.Bridge Community HealthClinic(715) 848-4884Prov. No.: 0000125371881810 N 2nd St �Wausau, WI 54403Language: EnglishGender: FemaleNPI: 1164873428License: 100138115License Type: DBP DentistBoard Certified: Not ReportedEmail: info@bridgedental. orgFax: (715) 845-5385Accepts New Patients: YHospital Affiliation: N/A*

BUSHONG, Aaron J.Wausau Smiles Llc(715) 842-3933Prov. No.: 000012068949301 N 17th Ave Ste 200 �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1871813329License: 652415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 848-3483Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)CHARGING, MalloryMidwest Dental(715) 845-9238Prov. No.: 000012176723605 S 24th Ave Ste 10Wausau, WI 54401Language: EnglishGender: FemaleNPI: 1215316765License: 1001102License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 848-5207Accepts New Patients: YHospital Affiliation: N/A*

CHARGING, MallorySzmanda Dental Center(715) 845-3200Prov. No.: 0000132384923103 Hummingbird Rd �Wausau, WI 54401Language: EnglishGender: FemaleNPI: 1215316765License: 1001102License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 842-4369Accepts New Patients: YHospital Affiliation: N/A*

CHING, Leesa K.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000012859291200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: FemaleNPI: 1851750293License: 1001675-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: NHospital Affiliation: N/A*


Wausau (Cont.)CRONKRITE, John G.Szmanda Dental Center(715) 845-3200Prov. No.: 0000122057693103 Hummingbird Rd �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1740274422License: 500168815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 842-4369Accepts New Patients: YHospital Affiliation: N/A*

DEMILLE, Steven B.Wausau Family Dental(715) 845-3171Prov. No.: 0000003003373650 Stewart Ave �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1275601940License: 5377-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 843-7088Accepts New Patients: YHospital Affiliation: N/A*

EZEOKEKE, Emeka A.Bridge Community HealthClinic(715) 848-4884Prov. No.: 0000125118361810 N 2nd St �Wausau, WI 54403Language: EnglishGender: MaleNPI: 1962879973License: 1001427-15License Type: DBP DentistBoard Certified: Not ReportedEmail: info@bridgedental. orgFax: (715) 845-5385Accepts New Patients: YHospital Affiliation: N/A*




Wausau (Cont.)FELKNER, John L.Brieanne Oehlke(715) 842-4111Prov. No.: 0000120492212110 Grand AveWausau, WI 54403Language: EnglishGender: MaleNPI: 1710016167License: 5001554-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

FERRARO, Joseph C.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000002462342200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: MaleNPI: 1477583870License: 3312-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: NHospital Affiliation: N/A*

FLAVIN, Joshua S.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000012480947200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: MaleNPI: 1750836623License: 1001413License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)FOSTER, Katarina K.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000012623542200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: FemaleNPI: 1518487263License: 1001616License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: NHospital Affiliation: N/A*

GAUTHIER, Benjamin J.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000008360317200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: MaleNPI: 1740599455License: 6618-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 843-9819Accepts New Patients: NHospital Affiliation: N/A*

HOVDA, RichardRichard Hovda Dds(715) 842-5459Prov. No.: 000000141221519 N 17th AveWausau, WI 54401Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)JERRELLS, Deborah M.Gary J Kohl Dds(715) 845-9297Prov. No.: 0000129390771 Corporate Dr Ste 104 �Wausau, WI 54401Language: EnglishGender: FemaleNPI: 1538139076License: 1001883-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-6972Accepts New Patients: YHospital Affiliation: N/A*

KEEFER, Oliver A.Brieanne Oehlke(715) 842-4111Prov. No.: 0000120492242110 Grand AveWausau, WI 54403Language: EnglishGender: MaleNPI: 1598822652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KRISTO, Steven J.Richard Hovda Dds(715) 842-5459Prov. No.: 000012830344519 N 17th AveWausau, WI 54401Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)LANG, Jenna M.Midwest Dental(715) 845-9238Prov. No.: 000012165555605 S 24th Ave Ste 10Wausau, WI 54401Language: EnglishGender: FemaleNPI: 1649535584License: 6943-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 848-5207Accepts New Patients: YHospital Affiliation: N/A*

LONG, DeniseWausau Family Dental(715) 845-3171Prov. No.: 0000003514303650 Stewart Ave �Wausau, WI 54401Language: EnglishGender: FemaleNPI: 1114119534License: 5762-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 843-7088Accepts New Patients: YHospital Affiliation: N/A*

MANTEUFFEL, Adam D.Wausau Family Dental(715) 845-3171Prov. No.: 0000121470433650 Stewart Ave �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1336551092License: 723115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-7088Accepts New Patients: YHospital Affiliation: N/A*




Wausau (Cont.)NASEA, Olga S.Quirt Family Dentistry Sc(715) 843-9800Prov. No.: 000012425300200 E Bridge St Ste 100 �Wausau, WI 54403Language: English, RomanianGender: FemaleNPI: 1043547664License: 7167-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 843-9819Accepts New Patients: YHospital Affiliation: N/A*

NICHOLS, Thomas S.Szmanda Dental Center(715) 845-3200Prov. No.: 0000130924673103 Hummingbird Rd �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1003300336License: 1001991License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 842-4369Accepts New Patients: YHospital Affiliation: N/A*

PREHN, Frederick C.Prehn Dental Office(715) 842-1270Prov. No.: 000000107750413 Jefferson StWausau, WI 54403Language: EnglishGender: MaleNPI: 1972801934License: 2930License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 848-2906Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)PREHN, RonaldSzmanda Dental Center(715) 845-3200Prov. No.: 0000128486263103 Hummingbird Rd �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1700085933License: 3010License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 842-4369Accepts New Patients: YHospital Affiliation: N/A*

QUIRT, Benjamin D.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000000374181200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: MaleNPI: 1992918676License: 5502-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: NHospital Affiliation: N/A*

QUIRT, Timothy J.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000000373859200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: MaleNPI: 1326251091License: 5987-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)SCHARER, Nathan J.Scharer Dental Llc(715) 845-6836Prov. No.: 0000121959852620 Stewart Ave Ste 214Wausau, WI 54401Language: EnglishGender: MaleNPI: 1467689927License: 6387-15License Type: DBP DentistBoard Certified: Not ReportedEmail: info@scharerdental .comFax: (715) 842-2041Accepts New Patients: YHospital Affiliation: N/A*

SCHNEISS, Beau J.Wausau Smiles Llc(715) 842-3933Prov. No.: 000012631521301 N 17th Ave Ste 200 �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1588111330License: 1001410License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 848-3483Accepts New Patients: YHospital Affiliation: N/A*

SCHULKE, Yvonne L.Szmanda Dental Center(715) 845-3200Prov. No.: 0000124284553103 Hummingbird Rd �Wausau, WI 54401Language: EnglishGender: FemaleNPI: 1275995268License: 100129815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 842-4369Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)SCHULKE, Yvonne L.Brieanne Oehlke(715) 842-4111Prov. No.: 0000124284682110 Grand AveWausau, WI 54403Language: EnglishGender: FemaleNPI: 1275995268License: 100129815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHULZ, ChadAspen Dental(715) 359-6060Prov. No.: 0000121805824113 Rib Mountain Dr �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1972985869License: 100115715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

SOBOLEWSKI, James A.Szmanda Dental Center(715) 845-3200Prov. No.: 0000002788313103 Hummingbird Rd �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1457343055License: 34282-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 842-4369Accepts New Patients: YHospital Affiliation: N/A*




Wausau (Cont.)SOBOLEWSKI, James A.Brieanne Oehlke(715) 842-4111Prov. No.: 0000120492222110 Grand AveWausau, WI 54403Language: EnglishGender: MaleNPI: 1457343055License: 34282-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SUN, WenhuiDavid J Aicher(715) 842-3321Prov. No.: 000012813019617 Jackson StWausau, WI 54403Language: EnglishGender: FemaleNPI: 1437569456License: 1001740License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SYKES, Van W.Quirt Family Dentistry -Wausau(715) 843-9800Prov. No.: 000012924716200 E Bridge St Ste 100 �Wausau, WI 54403Language: EnglishGender: MaleNPI: 1588142178License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (715) 843-9819Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)SZMANDA, Paul W.Szmanda Dental Center(715) 845-3200Prov. No.: 0000001690393103 Hummingbird Rd �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1336230440License: 3262License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 842-4369Accepts New Patients: YHospital Affiliation: N/A*

SZMANDA, Paul W.Brieanne Oehlke(715) 842-4111Prov. No.: 0000120492202110 Grand AveWausau, WI 54403Language: EnglishGender: MaleNPI: 1336230440License: 3262License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WASLESKE, Ben P.Bridge Community HealthClinic(715) 848-4884Prov. No.: 0000127048941810 N 2nd St �Wausau, WI 54403Language: EnglishGender: MaleNPI: 1679095806License: 1001613-15License Type: DBP DentistBoard Certified: Not ReportedEmail: info@bridgedental. orgFax: (715) 845-5385Accepts New Patients: YHospital Affiliation: N/A*


Weston

FELKNER, John L.Midwest Dental(715) 355-1714Prov. No.: 0000002647085702 Memorial CtWeston, WI 54476Language: EnglishGender: MaleNPI: 1710016167License: 5001554-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GAJEWSKI, Christy A.Midwest Dental CareMondovi Inc(715) 359-3200Prov. No.: 0000120500385806 Amir DrWeston, WI 54476Language: EnglishGender: FemaleNPI: 1184672065License: 5500-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 359-7778Accepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Jeremy M.Dental Visions(715) 359-3536Prov. No.: 0000121014353715 Weston AveWeston, WI 54476Language: EnglishGender: MaleNPI: 1437288891License: 5711License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Weston (Cont.)WASLESKE, Ben P.Weston Family Dental Sc(715) 241-6800Prov. No.: 0000126251578055 Meadow Rock DrWeston, WI 54476Language: EnglishGender: MaleNPI: 1679095806License: 1001613-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MARINETTE COUNTY

Marinette

ROMENESKO, Bradley M.Bradley M Romenesko Dds(715) 735-3897Prov. No.: 0000001016683915 Hall AveMarinette, WI 54143Language: EnglishGender: MaleNPI: 1790962231License: 343115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 735-3898Accepts New Patients: YHospital Affiliation: N/A*

MILWAUKEE COUNTY

Bayside

NEARY, Anne L.Anne Neary Dds(414) 351-5008Prov. No.: 0000001605358989 N Port Washington RdBayside, WI 53217Language: EnglishGender: FemaleNPI: 1295098838License: 5090-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



MILWAUKEE COUNTY (Cont.)

Brown Deer

IGWIKE, EmmanuelBradley Family Dental DentalGroup Inc(414) 371-2506Prov. No.: 0000001849245600 W Brown Deer Rd Ste5Brown Deer, WI 53223Language: EnglishGender: MaleNPI: 1104911239License: 5519015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 371-2509Accepts New Patients: YHospital Affiliation: N/A*

KNUTSEN, Nathan H.Lakeside Dental Llc(414) 355-5020Prov. No.: 0000128529305600 W Brown Deer Rd Ste111Brown Deer, WI 53223Language: EnglishGender: MaleNPI: 1073633699License: 549615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

NEWMAN, Bruce G.Village Dental Llc(414) 354-2300Prov. No.: 0000000946824420 W Bradley RdBrown Deer, WI 53223Language: EnglishGender: MaleNPI: 1437240660License: 5000809-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Brown Deer (Cont.)PARK, Joon-JaeVillage Dental Llc(414) 354-2300Prov. No.: 0000130012244420 W Bradley RdBrown Deer, WI 53223Language: English, KoreanGender: MaleNPI: 1568817559License: 100139015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

REHMAN, Syed S.Village Dental Llc(414) 354-2300Prov. No.: 0000129263444420 W Bradley RdBrown Deer, WI 53223Language: English, Hindi,Spanish, UrduGender: MaleNPI: 1316321722License: 100119115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WARNER, MarkBradley Family Dental Group(414) 371-2506Prov. No.: 0000125543645600 W Brown Deer Rd Ste5Brown Deer, WI 53223Language: EnglishGender: MaleNPI: 1700897758License: 5541015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 371-2509Accepts New Patients: YHospital Affiliation: N/A*


Cudahy

CARMICHAEL, Kimberly E.Cudahy Dental Associates Sc(414) 764-5550Prov. No.: 0000124934006217 S Packard AveCudahy, WI 53110Language: EnglishGender: FemaleNPI: 1861847097License: 1001312License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 764-9198Accepts New Patients: YHospital Affiliation: N/A*

COUILLARD, Christina C.Cudahy Dental Associates Sc(414) 764-5570Prov. No.: 0000001151816217 S Packard AveCudahy, WI 53110Language: EnglishGender: FemaleNPI: 1760456727License: 5493License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 764-4198Accepts New Patients: YHospital Affiliation: N/A*

GRANT, John S.Cudahy Dental Associates Sc(414) 764-5570Prov. No.: 0000001151736217 S Packard AveCudahy, WI 53110Language: EnglishGender: MaleNPI: 1275507345License: 5001334License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 764-4198Accepts New Patients: YHospital Affiliation: N/A*


Cudahy (Cont.)MELCHER, Zachary J.Cudahy Dental Associates Sc(414) 764-5550Prov. No.: 0000128533436217 S Packard AveCudahy, WI 53110Language: EnglishGender: MaleNPI: 1699121269License: 1001488-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 764-9198Accepts New Patients: YHospital Affiliation: N/A*

SIEHOFF, Mariela G.Cudahy Dental Associates Sc(414) 764-5550Prov. No.: 0000120489306217 S Packard AveCudahy, WI 53110Language: EnglishGender: FemaleNPI: 1033520770License: 7237License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 764-9198Accepts New Patients: YHospital Affiliation: N/A*

Fox Point

BAFUS, Paige T.Midwest Dental Fox Point(414) 247-1990Prov. No.: 0000121764786878 N Santa Monica BlvdFox Point, WI 53217Language: EnglishGender: FemaleNPI: 1447319496License: 100119215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Fox Point (Cont.)CASPER, Mary S.Midwest Dental Fox Point(414) 247-1990Prov. No.: 0000033795166878 N Santa Monica BlvdFox Point, WI 53217Language: EnglishGender: FemaleNPI: 1679681761License: 3749-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DONGRE, Stuart N.Midwest Dental Fox Point(414) 247-1990Prov. No.: 0000127710396878 N Santa Monica BlvdFox Point, WI 53217Language: EnglishGender: MaleNPI: 1124573068License: 100141915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LUBAR, David M.David M Lubar Dds(414) 352-7700Prov. No.: 000000113130555 W Brown Deer Rd Ste 210Fox Point, WI 53217Language: EnglishGender: MaleNPI: 1710061080License: 2509License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Franklin

ABBAS, KomailDental Associates Ltd ofWisconsin(414) 435-0787Prov. No.: 0000132552996855 S 27th StFranklin, WI 53132Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ALBERTI, HanaForward Dental(414) 427-6453Prov. No.: 0000127015789130 W Loomis RdFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1902963432License: 5919-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-4680Accepts New Patients: YHospital Affiliation: N/A*

ALSHEHABI, HassanDental Associates Ltd(414) 435-0787Prov. No.: 0000128950516855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1063906188License: 1001880License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)ANDERSON, Charles C.Charles C Anderson Dds Sc(414) 425-2900Prov. No.: 0000003849267215 W Rawson Ave �Franklin, WI 53132Language: EnglishGender: MaleNPI: 1104020015License: 5707-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 501-7747Accepts New Patients: NHospital Affiliation: N/A*

ARIZA, RichardDental Associates Ltd(414) 435-0787Prov. No.: 0000129888816855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1902309685License: 1001944-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

BREECHER, Edward T.Dental Associates Ltd(414) 435-0787Prov. No.: 0000122097056855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1164492377License: 100121315License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)BROWN, NatalieDental Associates Ltd(414) 435-0787Prov. No.: 0000129937486855 S 27th StFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1053896969License: 1001943License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

CAIATI, Michael P.Michael P Caiati Dds(414) 425-0500Prov. No.: 0000001143687255 S 76th St �Franklin, WI 53132Language: EnglishGender: MaleNPI: 1275842619License: 2999-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 425-3770Accepts New Patients: YHospital Affiliation: N/A*

DE PONS, Samantha L.Charles C Anderson Dds Sc(414) 425-2900Prov. No.: 0000126987227215 W Rawson Ave �Franklin, WI 53132Language: EnglishGender: FemaleNPI: 1508393471License: 1001573-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 501-7747Accepts New Patients: NHospital Affiliation: N/A*




Franklin (Cont.)DESAI, SajanDental Associates Ltd ofWisconsin(414) 435-0787Prov. No.: 0000129540246855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1447743455License: 1001920License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DWAN, Nicholas K.Charles C Anderson Dds Sc(414) 425-2900Prov. No.: 0000123334177215 W Rawson Ave �Franklin, WI 53132Language: EnglishGender: MaleNPI: 1255718169License: 100108315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 501-7747Accepts New Patients: NHospital Affiliation: N/A*

FORCIOLI, Laurent J.Dental Associates Ltd(414) 435-0787Prov. No.: 0000126091566855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1083146823License: 1001545-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)GOMEZ, PaulaForward Dental(414) 529-5330Prov. No.: 0000120329507740 S Lovers Lane Rd Ste450Franklin, WI 53132Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 529-9552Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(414) 529-5330Prov. No.: 0000007384927740 S Lovers Lane Rd Ste450Franklin, WI 53132Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 529-9552Accepts New Patients: YHospital Affiliation: N/A*

HADDICAN, Thomas J.Whitnall Dental Llc(414) 425-1101Prov. No.: 0000001070506522 S Lovers Lane RdFranklin, WI 53132Language: EnglishGender: MaleNPI: 1386735215License: 5001813-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)HEFFTER, Benjamin C.Dental Associates Ltd(414) 435-0787Prov. No.: 0000124266256855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1679928188License: 1001319License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

JAZWIECKI, Thomas R.James Sherman(414) 421-5700Prov. No.: 0000130164565600 W Rawson Ave Ste 104Franklin, WI 53132Language: EnglishGender: MaleNPI: 1528295920License: 6413-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MAJEWSKI, Paul J.Loomis Road Dental(414) 529-3933Prov. No.: 0000000353569700 W Loomis RdFranklin, WI 53132Language: EnglishGender: MaleNPI: 1447349642License: 3378015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 529-3962Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)NIEDZIELA, Jeffrey S.Forward Dental(414) 427-6453Prov. No.: 0000127015809130 W Loomis RdFranklin, WI 53132Language: EnglishGender: MaleNPI: 1164436614License: 6008-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-4680Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.Dental Associates Ltd(414) 435-0787Prov. No.: 0000131764936855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Carlos M.Dental Associates Ltd(414) 435-0787Prov. No.: 0000129842016855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1932602182License: 1001937License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*




Franklin (Cont.)SAWATZKE, Nicole A.Dental Associates Ltd(414) 435-0787Prov. No.: 0000102133896855 S 27th StFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1093152373License: 7068-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

SHERMAN, James R.River Park Family Dental Llc(414) 281-4811Prov. No.: 0000002922575600 W Rawson Ave Ste 104Franklin, WI 53132Language: EnglishGender: MaleNPI: 1053325753License: 4702License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SKIBINSKI, Emily J.Dental Associates Ltd(414) 435-0787Prov. No.: 0000126385516855 S 27th StFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1801259270License: 1001526-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)STOJANOVIC, ChristinaDental Associates Ltd(414) 435-0787Prov. No.: 0000126085056855 S 27th StFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1871022236License: 1001605-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

Glendale

ALBERTI, HanaForward Dental(414) 963-2129Prov. No.: 000000670507500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1902963432License: 5919-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BAUER, Christian W.Forward Dental(414) 963-2129Prov. No.: 000000279542500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: MaleNPI: 1447317599License: 5158-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Glendale (Cont.)ELDRIDGE, TomLakeshore Family Dentistry(414) 352-1600Prov. No.: 0000130550327155 N Port Washington Rd �Glendale, WI 53217Language: EnglishGender: MaleNPI: 1790053668License: 672315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 352-1780Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(414) 963-2129Prov. No.: 000012032942500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(414) 351-6010Prov. No.: 0000120329477040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*


Glendale (Cont.)GONZALEZ, Cesar D.Forward Dental(414) 963-2129Prov. No.: 000010217260500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(414) 351-6010Prov. No.: 0000104025427040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*

HERRSCHER, KathleenForward Dental(414) 351-6010Prov. No.: 0000006610247040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*




Glendale (Cont.)HERRSCHER, KathleenForward Dental(414) 963-2129Prov. No.: 000000709934500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOLMSTROM, Bruce E.Glendale Dental Llc(414) 964-8850Prov. No.: 0000000844505150 N Port Washington Rd �Ste 201Glendale, WI 53217Language: EnglishGender: MaleNPI: 1003918913License: 035226License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOLUBOWICZ, RichardForward Dental(414) 351-6010Prov. No.: 0000000759687040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1306902713License: 3351-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*


Glendale (Cont.)HOLUBOWICZ, RichardForward Dental(414) 963-2129Prov. No.: 000000661840500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: MaleNPI: 1306902713License: 3351-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

JUNG, EdmundForward Dental(414) 351-6010Prov. No.: 0000000759747040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1053478115License: 1687-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*

KUGELMANN, Annette M.Advanced Dental Specialists(414) 963-2301Prov. No.: 000004822550500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1447393731License: 6458-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 963-0413Accepts New Patients: YHospital Affiliation: N/A*


Glendale (Cont.)LAMANNA, Abbey M.Lakeshore Family Dentistry(414) 352-1600Prov. No.: 0000004391237155 N Port Washington Rd �Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1780805127License: 5916-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 352-1780Accepts New Patients: YHospital Affiliation: N/A*

LEIST, Marli J.Lakeshore Family Dentistry(414) 352-1600Prov. No.: 0000129894937155 N Port Washington Rd �Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1265961437License: 1001658-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 352-1780Accepts New Patients: YHospital Affiliation: N/A*

MEYERS, Margita U.Forward Dental(414) 963-2129Prov. No.: 000000118881500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1619192747License: 4665-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Glendale (Cont.)OMAR, HamzaForward Dental(414) 351-6010Prov. No.: 0000124885427040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1184095028License: 1001185-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*

PAGENKOPF, Jon J.Forward Dental(414) 351-6010Prov. No.: 0000000759677040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1184772709License: 5002138-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*

POHL, Emily A.Lakeshore Family Dentistry(414) 352-1600Prov. No.: 0000126353377155 N Port Washington Rd �Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1639609605License: 1001649-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 352-1780Accepts New Patients: NHospital Affiliation: N/A*




Glendale (Cont.)POTRYKUS, ChristopherGlendale Dental(414) 964-8850Prov. No.: 0000129153215150 N Port Washington RdSte 201Glendale, WI 53217Language: EnglishGender: MaleNPI: 1033477765License: 6886License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RUZICKA, James F.Forward Dental(414) 351-6010Prov. No.: 0000000759667040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1356493001License: 2840-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*

SCHROEPFER, Brian G.Wisconsin Dental Group Sc(414) 541-3434Prov. No.: 0000003112857040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1992891923License: 5734-15License Type: DBP DentistBoard Certified: NEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*


Glendale (Cont.)SLADKY, JacobSladky Family Dental Llc(414) 332-5450Prov. No.: 000012491012500 W Silver Spring Dr StE K275Glendale, WI 53217Language: EnglishGender: MaleNPI: 1144519414License: 6719License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SPECHT, Brian J.Lakeshore Family Dentistry(414) 352-1600Prov. No.: 0000125636837155 N Port Washington Rd �Glendale, WI 53217Language: EnglishGender: MaleNPI: 1912386632License: 1001097License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 352-1780Accepts New Patients: NHospital Affiliation: N/A*

TRAN, Linh L.Lakeshore Family Dentistry(414) 352-1600Prov. No.: 0000130441637155 N Port Washington Rd �Glendale, WI 53217Language: English, VietnameseGender: FemaleNPI: 1831578897License: 1001111-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 352-1780Accepts New Patients: YHospital Affiliation: N/A*


Glendale (Cont.)TUBIC, SusanForward Dental(414) 351-6010Prov. No.: 0000000759767040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1366509788License: 4634-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*

URBAITIS, Michael J.Glendale Dental Llc(414) 964-8850Prov. No.: 0000129153235150 N Port Washington RdSte 201Glendale, WI 53217Language: EnglishGender: MaleNPI: 1114260379License: 7075-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WALKER, LaurieForward Dental(414) 351-6010Prov. No.: 0000000759697040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1366509697License: 4479-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*


Glendale (Cont.)WARD, James T.Lakeshore Family Dentistry(414) 352-1600Prov. No.: 0000128882587155 N Port Washington Rd �Glendale, WI 53217Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 352-1780Accepts New Patients: YHospital Affiliation: N/A*

WERWIE, John M.Wisconsin Dental Group ScDba Forward Dental(414) 351-6010Prov. No.: 0000002784827040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1376578328License: 5001848-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*

ZHU, JiulinWisconsin Dental Group Sc(414) 541-3434Prov. No.: 0000130451047040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: FemaleNPI: 1235621756License: 1001842License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*




Greendale

ELDRIDGE, TomLakeshore Family Dentistry(414) 421-2303Prov. No.: 0000130550335808 Broad St �Greendale, WI 53129Language: EnglishGender: MaleNPI: 1790053668License: 672315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KOPICKI, Erin N.Dentalworks(414) 423-1540Prov. No.: 0000121666015200 S 76th StGreendale, WI 53129Language: EnglishGender: FemaleNPI: 1871871699License: 6778-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 423-0462Accepts New Patients: YHospital Affiliation: N/A*

LAMANNA, Abbey M.Lakeshore Family Dentistry(414) 421-2303Prov. No.: 0000126394595808 Broad St �Greendale, WI 53129Language: EnglishGender: FemaleNPI: 1780805127License: 5916-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Greendale (Cont.)POHL, Emily A.Lakeshore Family Dentistry(414) 421-2303Prov. No.: 0000126859395808 Broad St �Greendale, WI 53129Language: EnglishGender: FemaleNPI: 1639609605License: 1001649-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SPECHT, Brian J.Lakeshore Family Dentistry(414) 421-2303Prov. No.: 0000126159575808 Broad St �Greendale, WI 53129Language: EnglishGender: MaleNPI: 1912386632License: 1001097License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WARD, James T.Lakeshore Family Dentistry(414) 421-2303Prov. No.: 0000129008685808 Broad St �Greendale, WI 53129Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Greenfield

ADL, MohamadDentalworks(414) 423-1540Prov. No.: 0000126872577995 W Layton AveGreenfield, WI 53220Language: EnglishGender: MaleNPI: 1083640460License: 5527-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 423-0462Accepts New Patients: YHospital Affiliation: N/A*

AL RAWI, Zahra H.Dentalworks(414) 423-1540Prov. No.: 0000121702427995 W Layton AveGreenfield, WI 53220Language: EnglishGender: FemaleNPI: 1316326093License: 100114815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 423-0462Accepts New Patients: NHospital Affiliation: N/A*

BARTOLOMEI, Jose L.Jose L Bartolomei Dds(414) 431-1595Prov. No.: 0000001592224000 W Howard AveGreenfield, WI 53221Language: EnglishGender: MaleNPI: 1407965098License: 4742-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 431-1876Accepts New Patients: YHospital Affiliation: N/A*


Greenfield (Cont.)DEAN, Jeffrey K.Jeffrey Dean Dds(414) 321-6486Prov. No.: 00001232142710700 W Howard Ave Ste 100Greenfield, WI 53228Language: EnglishGender: MaleNPI: 1104890441License: 2334-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

IGWIKE, EmmanuelGreenfield Optimal Dental(414) 837-5989Prov. No.: 0000121197543670 S 108th StGreenfield, WI 53228Language: EnglishGender: MaleNPI: 1104911239License: 5519015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 571-6389Accepts New Patients: YHospital Affiliation: N/A*

LANGYEL, EileenEileen Langyel Dds(414) 546-3424Prov. No.: 0000001246243783 S 108th StGreenfield, WI 53228Language: EnglishGender: FemaleNPI: 1114002359License: 3508-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (414) 546-3488Accepts New Patients: YHospital Affiliation: N/A*




Greenfield (Cont.)PACK, Randall C.King Family Dentistry(414) 282-5560Prov. No.: 0000001117756520 W Layton Ave �Greenfield, WI 53220Language: EnglishGender: MaleNPI: 1568565026License: 5001352-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 282-6790Accepts New Patients: YHospital Affiliation: N/A*

RINGWOLSKI, SamanthaLandon and Sirotinski Dds Sc(414) 425-2466Prov. No.: 0000128819348430 W Forest Home AveGreenfield, WI 53228Language: EnglishGender: FemaleNPI: 1760973507License: 1001824License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHELL, Joseph A.Joseph A Schell Dds(414) 543-2500Prov. No.: 0000120657987430 W Forest Home AveGreenfield, WI 53220Language: EnglishGender: MaleNPI: 1750469177License: 3969-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Greenfield (Cont.)SULIM, IgorDentalworks(414) 423-1540Prov. No.: 0000002132167995 W Layton AveGreenfield, WI 53220Language: EnglishGender: MaleNPI: 1952473159License: 5717-015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 423-0462Accepts New Patients: NHospital Affiliation: N/A*

WARNER, MarkGreenfield Optimal Dental(414) 837-5989Prov. No.: 0000121197443670 S 108th StGreenfield, WI 53228Language: EnglishGender: MaleNPI: 1700897758License: 5541015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 571-6389Accepts New Patients: YHospital Affiliation: N/A*

Hales Corners

BEARD, Scott J.Michael A Laska Dds(414) 529-2280Prov. No.: 0000126088255717 S 108th StHales Corners, WI 53130Language: EnglishGender: MaleNPI: 1033560529License: 1001364-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Hales Corners (Cont.)BROKENSHIRE, Caitlin M.Wisconsin Dental Group Sc(414) 541-3434Prov. No.: 0000129024875250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: FemaleNPI: 1518319813License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

BURKHARDT, Michael A.Forward Dental(414) 427-0900Prov. No.: 0000124674145250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1427401033License: 1001365-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

COOK, James L.Forward Dental(414) 427-0900Prov. No.: 0000121741205250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1952478158License: 5001201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*


Hales Corners (Cont.)DOBAK, EndreEndre Dobak(414) 529-4000Prov. No.: 0000002391155535 S 108th StHales Corners, WI 53130Language: EnglishGender: MaleNPI: 1801014568License: 5498License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 529-4015Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(414) 427-0900Prov. No.: 0000007103655250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(414) 427-0900Prov. No.: 0000120329455250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*




Hales Corners (Cont.)GONZALEZ, Cesar D.Forward Dental(414) 427-0900Prov. No.: 0000006977465250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

HERRSCHER, KathleenForward Dental(414) 427-0900Prov. No.: 0000006618965250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

KEELING, David R.David R Keeling Dmd(414) 529-3253Prov. No.: 0000126007985645 S 108th St �Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1356545255License: 1001372-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 529-3273Accepts New Patients: NHospital Affiliation: N/A*


Hales Corners (Cont.)KEELING, David R.Dk Dental Caer Sc(414) 529-3253Prov. No.: 0000130897165535 S 108th St �Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1356545255License: 1001372-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 529-3273Accepts New Patients: YHospital Affiliation: N/A*

KUFFEL, JosephForward Dental(414) 427-0900Prov. No.: 0000006906605250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1699909762License: 6353-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

LASKA, MichaelMichael A Laska Dds(414) 529-2280Prov. No.: 0000124634695717 S 108th StHales Corners, WI 53130Language: EnglishGender: Not ReportedNPI:License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Hales Corners (Cont.)MUELLER, Richard A.Richard A Mueller Dds(414) 425-1510Prov. No.: 00000010842611801 W Janesville Rd �Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1417115700License: 2610-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PETERS, Justin L.Wisconsin Dental Group Sc(414) 541-3434Prov. No.: 0000129241335250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1295221596License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

RAIMANN, Thomas E.Thomas E Raimann Dds(414) 425-1510Prov. No.: 00000011387511801 W Janesville Rd �Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1700293768License: 2476License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (414) 425-1861Accepts New Patients: YHospital Affiliation: N/A*


Hales Corners (Cont.)SATULA, Katie A.Satula Family Dental Llc(414) 425-1510Prov. No.: 00001218400711801 W Janesville Rd Ste6Hales Corners, WI 53130Language: EnglishGender: FemaleNPI: 1578940375License: 1001086License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 425-1864Accepts New Patients: NHospital Affiliation: N/A*

SHIH, Denise Y.Dale A Newman Periodontics(414) 427-0288Prov. No.: 00001254461810950 W Forest Home Ave STe 201Hales Corners, WI 53130Language: EnglishGender: FemaleNPI: 1891903043License: 6469-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-0655Accepts New Patients: NHospital Affiliation: N/A*

TUBIC, SusanWisconsin Dental Group ScDba Forward Dental(414) 427-0900Prov. No.: 0000003465735250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: FemaleNPI: 1366509788License: 4634-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*




Hales Corners (Cont.)WALKER, Frederick M.Forward Dental(414) 427-0900Prov. No.: 0000125022065250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1154425445License: 5001143-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

WANEZEK, MarkForward Dental(414) 427-0900Prov. No.: 0000003712725250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: MaleNPI: 1205992815License: 3434-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

WEIS, David M.David M Weis Dds(414) 529-3253Prov. No.: 0000001310175645 S 108th StHales Corners, WI 53130Language: EnglishGender: MaleNPI: 1093973067License: 5002070-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 529-3273Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee

ABBAS, KomailDental Associates Llc(414) 645-4540Prov. No.: 0000132552962100 Miller Park WayMilwaukee, WI 53219Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

ABBAS, KomailDental Associates at the IronBlock(414) 778-3600Prov. No.: 000013255300205 E Wisconsin Ave �Milwaukee, WI 53202Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

ABBAS, KomailDental Associates at Beerline(414) 435-5850Prov. No.: 000013255307220 E Pleasant StMilwaukee, WI 53212Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)ABDOLISERESHKI, HoomanFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012789766821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1619369279License: 1001284License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ALBERTI, HanaForward Dental(414) 481-7400Prov. No.: 0000002541863030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1902963432License: 5919-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*

AL-BITAR, Sara Y.Wisconsin Health Fund Dental(414) 771-5600Prov. No.: 0000122212186200 W Bluemound Rd �Milwaukee, WI 53213Language: EnglishGender: FemaleNPI: 1245520667License: 671715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 771-2540Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)ALKHANDAK, ImanSwan Dental(414) 323-1000Prov. No.: 0000129250852669 N Swan Blvd �Milwaukee, WI 53226Language: Arabic, EnglishGender: FemaleNPI: 1407206618License: 100133715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 323-1111Accepts New Patients: YHospital Affiliation: N/A*

ALSAMARRAIE, Mohammed M.Milwaukee Dental Group(414) 464-1070Prov. No.: 0000126111865542 W Fond Du Lac Ave StE 1Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1689102667License: 1001540-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-3797Accepts New Patients: YHospital Affiliation: N/A*

ALSAMARRAIE, Mohammed M.Bright Dental Llc(414) 377-3808Prov. No.: 0000126111921300 W Lincoln AveMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1689102667License: 1001540-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)ANDERSON, Deanna J.Dennis R Anderson Dds Sc(414) 545-9090Prov. No.: 00000028274810701 W Lincoln Ave �Milwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1396960548License: 5001336License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 545-3440Accepts New Patients: YHospital Affiliation: N/A*

ANDERSON, Dennis R.Dennis R Anderson(414) 545-9090Prov. No.: 00000008838410701 W Lincoln AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1538384771License: 5001336License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 545-3440Accepts New Patients: YHospital Affiliation: N/A*

ANTONOFF, Kenneth E.D2 Dental of Wisconsin Sc(414) 455-8805Prov. No.: 0000129871761838 S 15th StMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1205842721License: 6823License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)ARIF-HOLMES, Lakisha N.Milwaukee Health Services Inc(414) 267-2670Prov. No.: 0000122090122555 N Dr Martin Luther K �Ing DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1982867024License: 6448-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

ARIF-HOLMES, Lakisha N.Milwaukee Health Services Inc(414) 267-2671Prov. No.: 0000122091918200 W Silver Spring Dr �Milwaukee, WI 53218Language: EnglishGender: FemaleNPI: 1982867024License: 6448-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

ARSHAD, Omar F.Dental Associates Llc(414) 645-4540Prov. No.: 0000124806982100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1801183371License: 6770-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)AUGEND, ArsalanFamilia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000122813195341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1053778803License: 1001259License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

AUMANN, Michelle R.Milwaukee Health Services Inc(414) 267-2671Prov. No.: 0000129116388200 W Silver Spring Dr �Milwaukee, WI 53218Language: EnglishGender: FemaleNPI: 1962998260License: 1001889License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

AUMANN, Michelle R.Milwaukee Health Services Inc(414) 267-2670Prov. No.: 0000129116402555 N Dr Martin Luther K �Ing DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1962998260License: 1001889License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)AZAD, Koushan H.Familia Dental River Glen Llc(888) 988-4066Prov. No.: 000012199889142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1154533180License: 1001044License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

AZENABOR, Okwuchi N.Forward Dental(414) 214-1102Prov. No.: 0000126985827979 N Sherman Blvd Ste 200Milwaukee, WI 53209Language: EnglishGender: FemaleNPI: 1699202945License: 1001517-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 214-1092Accepts New Patients: YHospital Affiliation: N/A*

BAGGOTT, Timothy C.Timothy C Baggott Dds(414) 271-1246Prov. No.: 000012837731735 N Water St Ste 716 �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1770802274License: 6526-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 271-1247Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)BAGGOTT, William R.William R Baggott Dds(414) 543-9911Prov. No.: 0000004695263365 S 103rd StMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1851486484License: 2737-15License Type: DBP DentistBoard Certified: NEmail:Fax: (414) 543-9911Accepts New Patients: YHospital Affiliation: N/A*

BARTLETT, Michael S.Wauwatosa Dental Group Sc(414) 257-3366Prov. No.: 0000120760952600 N Mayfair Rd Ste 750Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1902836596License: 5001758License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BECHERER, John C.John C Becherer Dds(414) 332-4123Prov. No.: 0000003069695800 N Bayshore Dr Ste B252Milwaukee, WI 53217Language: EnglishGender: MaleNPI: 1235279613License: 4390License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 332-4264Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)BEHLMER, William D.Midwest Dental(414) 744-3322Prov. No.: 0000124477225007 S Howell Ave Ste 130Milwaukee, WI 53207Language: EnglishGender: MaleNPI: 1174639447License: 4213015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BEHM, Bryan J.Endodontic Specialists of WiSc(414) 546-1900Prov. No.: 00001284737110401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1578841474License: 6710015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*

BERGER, Mark E.Mark E Berger Dds Sc(414) 354-1160Prov. No.: 0000000799867400 W Brown Deer RdMilwaukee, WI 53223Language: EnglishGender: MaleNPI: 1134203714License: 4524License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 354-1161Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)BHATT, Dhelni T.Familia Dental River Glen Llc(888) 988-4066Prov. No.: 000012707462142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1053821413License: 1001696-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BHIMIREDDY, SilpaSweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000129003093113 S 13th StMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1508317124License: 1001235-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*

BHIMJI, Sanaa N.Familia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000124966565341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: FemaleNPI: 1083165351License: 100144015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)BIEL, Warren F.Warren F Biel Dds(414) 272-1066Prov. No.: 0000000334172266 N Prospect Ave Ste 504Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1306959960License: 2393015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (414) 272-1432Accepts New Patients: YHospital Affiliation: N/A*

BIMARTHI, SavitaFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012444480821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1588017925License: 1001397-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BINNINGER, Edward P.Binninger Family Denistry Llc(414) 442-3360Prov. No.: 0000007002143104 N 93rd StMilwaukee, WI 53222Language: EnglishGender: MaleNPI: 1639235369License: 006028License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)BINNINGER, Edwin A.Binninger Family Denistry Llc(414) 442-3360Prov. No.: 0000000235063104 N 93rd StMilwaukee, WI 53222Language: EnglishGender: MaleNPI: 1871796268License: 5000600License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BINNINGER, Matthew S.Binninger Family Denistry Llc(414) 442-3360Prov. No.: 0000007002153104 N 93rd StMilwaukee, WI 53222Language: EnglishGender: MaleNPI: 1093917957License: 5623-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BITTAR, EyadDestiny Dental(414) 455-8805Prov. No.: 0000132010691838 S 15th StMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1164915799License: 1001850License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)BLAKLEY, Alicia N.Milwaukee Health Services Inc(414) 267-2670Prov. No.: 0000121469542555 N Dr Martin Luther K �Ing DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1609155498License: 7031-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BOWDEN, Akintunde A.Milwaukee Health Services Inc(414) 267-2671Prov. No.: 0000120670338200 W Silver Spring Dr �Milwaukee, WI 53218Language: EnglishGender: MaleNPI: 1962804534License: 1001000-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BOWDEN, Akintunde A.Milwaukee Health Services Inc(414) 267-2670Prov. No.: 0000120670342555 N Dr Martin Luther K �Ing DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1962804534License: 1001000-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)BOYD, Timolin L.Timolin L Boyd Dds(414) 463-1956Prov. No.: 0000003643248200 W Appleton AveMilwaukee, WI 53218Language: EnglishGender: FemaleNPI: 1265625412License: 4460015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 463-5822Accepts New Patients: YHospital Affiliation: N/A*

BROCK, Lynne A.Endodontic Specialists of WiSc(414) 546-1900Prov. No.: 00001261373710401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1699784421License: 439115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*

BRODEK, Adela J.Milwaukee Health Services Inc(414) 267-2671Prov. No.: 0000129116378200 W Silver Spring Dr �Milwaukee, WI 53218Language: EnglishGender: FemaleNPI: 1740776525License: 1007887License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)BRODEK, Adela J.Milwaukee Health Services Inc(414) 267-2670Prov. No.: 0000129116392555 N Dr Martin Luther K �Ing DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1740776525License: 1007887License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BRUCHS, ThomasDouglas J Persich Dds(414) 258-2500Prov. No.: 0000122271657130 W Greenfield AveMilwaukee, WI 53214Language: EnglishGender: MaleNPI: 1023295862License: 249215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 238-6881Accepts New Patients: NHospital Affiliation: N/A*

BURANT, Anthony M.Anthony M Burant Dds(262) 377-5900Prov. No.: 0000007118709431 W Beloit Rd Ste 205 �Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1255479036License: 3310License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 377-5901Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)BURNS, Casey L.Midwest Dental(414) 257-3366Prov. No.: 0000126031422600 N Mayfair Rd Ste 750Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1740717917License: 1001553-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CALLEIA, Gregory C.Gerald L Ignace Indian HealthCenter(414) 383-9526Prov. No.: 000013039023930 W Historic Mitchell STMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1134144371License: 1001644License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CASEY, Thomas P.Family Dental of South EastWisconsin(414) 321-2720Prov. No.: 00000009174710202 W Hayes Ave �Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1194718007License: 3499-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 321-7718Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)CHANANA, SumitSweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000129214333113 S 13th StMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1396090734License: 6964License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*

CHANANA, SumitFamilia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000130656715341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: FemaleNPI: 1396090734License: 6964License Type: DBP DentistBoard Certified: NEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

CHANDOK, Sham S.Milwaukee Dental Group(414) 464-1070Prov. No.: 0000000934575542 W Fond Du Lac Ave StE 1Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1093974321License: 3107-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 464-3797Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)CHANDOK, Sham S.Bright Dental Llc(414) 377-3808Prov. No.: 0000125260331300 W Lincoln AveMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1093974321License: 3107-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CHARAPATA, Thomas F.The Dentists South Shore(414) 483-1600Prov. No.: 000000421726704 E Layton Ave �Milwaukee, WI 53207Language: EnglishGender: MaleNPI: 1023253317License: 3384-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 483-3174Accepts New Patients: YHospital Affiliation: N/A*

CHAUDHRY, Munir A.Munir A Chaudhry Dds(414) 464-6300Prov. No.: 0000003707316719 W Capitol DrMilwaukee, WI 53216Language: EnglishGender: MaleNPI: 1467638296License: 3004License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-2874Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)CHAUHAN, ShalabhFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012529293821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1497290043License: 1001466-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

CHAUHAN, ShalabhFamilia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000125294805341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1497290043License: 1001466-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

CHEN, JeffreyFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012623111821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1073035119License: 1001647-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)CHEN, XiaoqiDental Associates Llc(414) 645-4540Prov. No.: 0000130276712100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1053801944License: 1001911License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

CIEPLUCH, Randy R.Randy Ciepluch(414) 342-0378Prov. No.: 0000003660893500 W Lisbon Ave �Milwaukee, WI 53208Language: EnglishGender: MaleNPI: 1245221977License: 2260-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CZUBKOWSKI, Gary W.Gary W Czubkowski Dds(414) 462-3140Prov. No.: 0000001755078637 W Lisbon AveMilwaukee, WI 53222Language: EnglishGender: MaleNPI: 1982777363License: 2759-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 462-3140Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)DACOSTA, Michelle N.Aids Resource Center ofWisconsin(414) 223-6800Prov. No.: 000012003802820 N Plankinton Ave �Milwaukee, WI 53203Language: EnglishGender: FemaleNPI: 1104963784License: 4727-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 225-1628Accepts New Patients: YHospital Affiliation: N/A*

DAWOUD, Yaqin M.Milwaukee Dental Group Sc(414) 464-1070Prov. No.: 0000128528735542 W Fond Du Lac Ave StE 1Milwaukee, WI 53216Language: Arabic, EnglishGender: MaleNPI: 1972922102License: 1001439-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 930-4132Accepts New Patients: YHospital Affiliation: N/A*

DAWOUD, Yaqin M.Bright Dental Llc(414) 377-3808Prov. No.: 0000128610161300 W Lincoln AveMilwaukee, WI 53215Language: Arabic, EnglishGender: MaleNPI: 1972922102License: 1001439-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)DEATON, Allen B.Midwest Dental(414) 541-3480Prov. No.: 0000120499985105 W Morgan AveMilwaukee, WI 53220Language: EnglishGender: MaleNPI: 1962531327License: 5554-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 541-6845Accepts New Patients: YHospital Affiliation: N/A*

DEPLEDGE, TimothyTimothy D Depledge Dds Sc(414) 744-5800Prov. No.: 0000000937863967 S Howell AveMilwaukee, WI 53207Language: EnglishGender: MaleNPI: 1891705323License: 3398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DONOHOO, Michael W.Burleigh Dental Sc(414) 344-4334Prov. No.: 0000000259437623 W Burleigh St �Milwaukee, WI 53222Language: EnglishGender: MaleNPI: 1275628638License: 2503License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)DONOHOO, Michael W.S F Donohoo(414) 344-4334Prov. No.: 000000025949758 N 27th St �Milwaukee, WI 53208Language: EnglishGender: MaleNPI: 1275628638License: 2503License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ELCHEKHA, HoussamMitchel Street Dental(414) 383-2426Prov. No.: 000012005048710 W Historic Mitchell STMilwaukee, WI 53204Language: Arabic, EnglishGender: MaleNPI: 1396096574License: 7001-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (877) 335-3684Accepts New Patients: YHospital Affiliation: N/A*

ELDRIDGE, TomMitchel Street Dental(414) 383-2426Prov. No.: 000012897985710 W Historic Mitchell STMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1790053668License: 672315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (877) 335-3684Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)ESERKALN, Catherine A.Familia Dental River Glen Llc(888) 988-4066Prov. No.: 000012912884142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1598170607License: 1001008License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

EXNER, Thomas W.Joyce Family Dentistry(414) 228-3000Prov. No.: 0000122340976025 N Green Bay Ave �Milwaukee, WI 53209Language: EnglishGender: MaleNPI: 1679860415License: 675615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 228-3002Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Wisconsin Dental Group ScDba Forward Dental(414) 214-1102Prov. No.: 0000006916227979 N Sherman Blvd Ste 200Milwaukee, WI 53209Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 214-1092Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)FAUST, Michael J.Forward Dental(414) 276-5453Prov. No.: 0000007103521575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(414) 481-7400Prov. No.: 0000007103593030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(414) 543-3301Prov. No.: 0000007103645100 W Forest Home Ave StE 203Milwaukee, WI 53219Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-1679Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)FAUST, Michael J.Forward Dental(414) 327-6363Prov. No.: 0000007103708801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, Pablo A.Forward Dental(414) 327-6363Prov. No.: 0000121739378801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1164808895License: 1001187-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

FINK, WilliamDr William Fink Dds Ltd(414) 383-3200Prov. No.: 000000038458505 W Historic Mitchell S �TMilwaukee, WI 53204Language: English, SpanishGender: MaleNPI: 1417081522License: 5001585License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 383-2183Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)FLEYSH, KlaraDr Klara Fleysh Dds(414) 963-0950Prov. No.: 0000000888681714 E Capitol DrMilwaukee, WI 53211Language: EnglishGender: FemaleNPI: 1710216494License: 4839-15License Type: DBP DentistBoard Certified: NEmail:Fax: (414) 963-0950Accepts New Patients: YHospital Affiliation: N/A*

FONTAINE, Gerard D.Family Dental Center(414) 445-0351Prov. No.: 0000000354083520 W Oklahoma AveMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1285797522License: 5002057License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 445-0351Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, Reyna G.Progressive CommunityHealth Centers(414) 935-8000Prov. No.: 0000127964983522 W Lisbon AveMilwaukee, WI 53208Language: EnglishGender: FemaleNPI: 1760830228License: 100134015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)GEIGER, Kenneth E.Midwest Dental(414) 257-3366Prov. No.: 0000130798262600 N Mayfair Rd Ste 750Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1881723229License: 3224-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GELLER, ZolyaZolya Geller(414) 332-1808Prov. No.: 000000677860200 W Silver Spring Dr StE 320Milwaukee, WI 53217Language: EnglishGender: FemaleNPI: 1285822593License: 3090License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GEQUILLANA, Glenn L.Glenn Gequillana(414) 258-6330Prov. No.: 0000003475437635 W Bluemound Rd Ste 208Milwaukee, WI 53213Language: English, German,TagalogGender: MaleNPI: 1154484616License: 5003-015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (414) 258-3622Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)GOLLA, SwathiSweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000126568033113 S 13th StMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1457876195License: 1001660-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*

GOLOVIN, AliciaProgressive CommunityHealth(414) 935-8000Prov. No.: 0000121889253522 W Lisbon AveMilwaukee, WI 53208Language: EnglishGender: FemaleNPI: 1043611155License: 100113915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GOLOVIN, Michael P.The Dentists South Shore(414) 483-1600Prov. No.: 000012566536704 E Layton Ave �Milwaukee, WI 53207Language: EnglishGender: MaleNPI: 1184005928License: 1001138-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 483-3174Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)GOMEZ, PaulaForward Dental(414) 276-5453Prov. No.: 0000120329291575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(414) 481-7400Prov. No.: 0000120329383030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(414) 543-3301Prov. No.: 0000120329435100 W Forest Home Ave StE 203Milwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-1679Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)GOMEZ, PaulaForward Dental(414) 214-1102Prov. No.: 0000120329517979 N Sherman Blvd Ste 200Milwaukee, WI 53209Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 214-1092Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(414) 327-6363Prov. No.: 0000120329528801 W National AveMilwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Wisconsin Dental Group ScDba Forward Dental(414) 481-7400Prov. No.: 0000004676473030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)GONZALEZ, Cesar D.Forward Dental(414) 276-5453Prov. No.: 0000083601081575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(414) 543-3301Prov. No.: 0000083601855100 W Forest Home Ave StE 203Milwaukee, WI 53219Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 327-1679Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(414) 327-6363Prov. No.: 0000104028538801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)GOODELL, Laura E.Dental Associates Ltd ofWisconsin(414) 645-4540Prov. No.: 0000127758052100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GORODESKY, RomanCapitol Family Dental Clinic(414) 461-4140Prov. No.: 0000032762758422 W Capitol Dr �Milwaukee, WI 53222Language: EnglishGender: MaleNPI: 1194982405License: 5302License Type: DBP DentistBoard Certified: NEmail: [email protected] mFax: (414) 461-5033Accepts New Patients: YHospital Affiliation: N/A*

GORODESKY, RomanWest Allis Dental Care Llc(414) 258-2500Prov. No.: 0000122138757130 W Greenfield AveMilwaukee, WI 53214Language: EnglishGender: MaleNPI: 1194982405License: 5302License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 259-0876Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)GORODESKY, RomanKamyar Saeian Dental Inc(414) 967-0993Prov. No.: 0000126943193970 N Oakland Ave Ste 501Milwaukee, WI 53211Language: EnglishGender: MaleNPI: 1194982405License: 5302License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GORODESKY, RomanJaspreet S Sidhu Dmd Corp(414) 771-5588Prov. No.: 0000127852981417 S 108th St �Milwaukee, WI 53214Language: EnglishGender: MaleNPI: 1194982405License: 5302License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GORODESKY, RomanMurtaza M Sajan Dds Inc Sc(414) 210-6222Prov. No.: 0000130032619134 W Silver Spring Dr �Milwaukee, WI 53225Language: EnglishGender: MaleNPI: 1194982405License: 5302License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 755-7616Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)GRAGG, Jerry D.Jerry Gragg Dds(414) 445-4111Prov. No.: 0000000615553489 N 76th St �Milwaukee, WI 53222Language: EnglishGender: MaleNPI: 1346316205License: 2473-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 445-4103Accepts New Patients: YHospital Affiliation: N/A*

GREATENS, Scott R.Aids Resource Center ofWisconsin(414) 223-6800Prov. No.: 000012470772820 N Plankinton Ave �Milwaukee, WI 53203Language: EnglishGender: MaleNPI: 1932226503License: 388615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 225-1628Accepts New Patients: YHospital Affiliation: N/A*

HAMDAN, Monther I.Swan Dental(414) 323-1000Prov. No.: 0000129999392669 N Swan Blvd �Milwaukee, WI 53226Language: Arabic, EnglishGender: MaleNPI: 1821490251License: 1001015-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 323-1111Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)HAMILTON, Bruce P.The Centre of ExceptionalDentistry(414) 372-7374Prov. No.: 0000002177691825 N Dr Martin Luther KIng Jr DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1881613636License: 4936License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

HARDY, Desiree T.Familia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012996101821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1457840829License: 1001833License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

HARDY, Desiree T.Familia Dental River Glen Llc(888) 988-4066Prov. No.: 000012996119142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1457840829License: 1001833License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)HARENKE, David L.David L Harenke Dds(414) 463-0240Prov. No.: 0000128741753953 N 76th StMilwaukee, WI 53222Language: EnglishGender: MaleNPI: 1780171728License: 5001609License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HARTEAU, Christian T.The Dentists South Shore(414) 483-1600Prov. No.: 000000421770704 E Layton Ave �Milwaukee, WI 53207Language: EnglishGender: MaleNPI: 1316154024License: 6106015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 483-3174Accepts New Patients: YHospital Affiliation: N/A*

HAUGEN, Erin M.Family Dental of South EastWisconsin(414) 321-2720Prov. No.: 00001199969010202 W Hayes Ave �Milwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1528358918License: 6783-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 321-7718Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)HEBL, Monica M.Burleigh Dental Sc(414) 344-4334Prov. No.: 0000000259447623 W Burleigh St �Milwaukee, WI 53222Language: EnglishGender: FemaleNPI: 1528153913License: 3484License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HEBL, Monica M.S F Donohoo(414) 344-4334Prov. No.: 000000025950758 N 27th St �Milwaukee, WI 53208Language: EnglishGender: FemaleNPI: 1528153913License: 3484License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HEBL, Peter A.Milwaukee Health Services Inc(414) 267-2671Prov. No.: 0000130176408200 W Silver Spring Dr �Milwaukee, WI 53218Language: EnglishGender: MaleNPI: 1225503998License: 1001953License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)HEBL, Peter A.Milwaukee Health Services Inc(414) 267-2670Prov. No.: 0000130306572555 N Dr Martin Luther K �Ing DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1225503998License: 1001953License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HEINRICH, Geoffrey W.Gentle Dentistry Sc(414) 257-3103Prov. No.: 0000000338672300 N Mayfair Rd Ste 245Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1720133853License: 5001176-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 476-0037Accepts New Patients: YHospital Affiliation: N/A*

HERRSCHER, KathleenForward Dental(414) 481-7400Prov. No.: 0000006610223030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)HERRSCHER, KathleenForward Dental(414) 276-5453Prov. No.: 0000006616111575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*

HERRSCHER, KathleenForward Dental(414) 327-6363Prov. No.: 0000006618818801 W National AveMilwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

HOLUBOWICZ, RichardForward Dental(414) 327-6363Prov. No.: 0000000759858801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1306902713License: 3351-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)HUGHES, Kevin F.Doctors Denture Systems(414) 463-5480Prov. No.: 0000000364369008 W Burleigh St �Milwaukee, WI 53222Language: EnglishGender: MaleNPI: 1346408903License: 392215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HUGHES, Kevin F.Doctors Denture Systems(414) 671-5720Prov. No.: 000000036439501 W Lincoln Ave �Milwaukee, WI 53207Language: EnglishGender: MaleNPI: 1346408903License: 392215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 671-5745Accepts New Patients: YHospital Affiliation: N/A*

HUGHES, Kevin F.Doctors Denture Systems(414) 321-7274Prov. No.: 0000000364427500 W Lincoln Ave �Milwaukee, WI 53219Language: EnglishGender: MaleNPI: 1346408903License: 392215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)HUSSAIN, SadafDental Associates at the IronBlock(414) 778-3600Prov. No.: 000012923771205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: FemaleNPI: 1679095061License: 1001713-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

HUSSAIN, SadafDental Associates at Beerline(414) 435-5850Prov. No.: 000012927030220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1679095061License: 1001713-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*

IGWIKE, EmmanuelBradley Family Dental GroupInc(414) 371-2506Prov. No.: 0000127098435600 W Brown Deer Rd SteG5Milwaukee, WI 53223Language: EnglishGender: MaleNPI: 1104911239License: 5519015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)IRELAN, Estella A.Major Dental Clinics ofMilwaukee(414) 276-4262Prov. No.: 000012202643788 N Jefferson StMilwaukee, WI 53202Language: EnglishGender: FemaleNPI: 1487098232License: 7126-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

JETHWANI, MonicaWisconsin Dental Group Sc(414) 541-3434Prov. No.: 0000121740761575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1871867069License: 7224-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*

JOHNSON, Benjamin S.West Allis Dental Care Llc(414) 258-2500Prov. No.: 0000122107977130 W Greenfield AveMilwaukee, WI 53214Language: EnglishGender: MaleNPI: 1750670014License: 6649License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 259-0876Accepts New Patients: NHospital Affiliation: N/A*




Milwaukee (Cont.)JUNG, EdmundForward Dental(414) 327-6363Prov. No.: 0000006619228801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1053478115License: 1687-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

KANG, Tae H.Familia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000124966675341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: Chinese, English,Korean, SpanishGender: MaleNPI: 1255711693License: 100143415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KARLEN, JosephDental Associates at Beerline(414) 435-5850Prov. No.: 000012426282220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1043697543License: 1001125License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)KASAM, Mohana Murali KrishnaSweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000129251843113 S 13th StMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1669959995License: 1001891License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*

KAUL, Patrick R.Dental Associates Llc(414) 645-4540Prov. No.: 0000124806992100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1285679944License: 5531-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

KAUR, SimerjeetFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012197325821 S Layton BlvdMilwaukee, WI 53215Language: English, Hindi,PunjabiGender: FemaleNPI: 1629448170License: 1001211License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)KAUR, SimerjeetFamilia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000122813245341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: English, Hindi,PunjabiGender: FemaleNPI: 1629448170License: 1001211License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KEELING, David R.Swan Dental(414) 323-1000Prov. No.: 0000125144002669 N Swan Blvd �Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1356545255License: 1001372-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 323-1111Accepts New Patients: YHospital Affiliation: N/A*

KEMPINSKI, Jason A.Dental Associates at Beerline(414) 435-5850Prov. No.: 000012181266220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1750319596License:License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)KHAN, Mujtaba B.Familia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012502280821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1093260366License: 1001454License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KIM, MinjungD2 Dental of Wisconsin Sc(414) 455-8805Prov. No.: 0000131784361838 S 15th StMilwaukee, WI 53204Language: EnglishGender: FemaleNPI: 1659444099License: 1002004License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*

KISS, MihaiFamilia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000125618725341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1700334265License: 1001480License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)KNEEPKENS, Mark J.Doctors Denture Systems(414) 463-5480Prov. No.: 0000000364349008 W Burleigh St �Milwaukee, WI 53222Language: EnglishGender: MaleNPI: 1356539845License: 2614License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KNEEPKENS, Mark J.Doctors Denture Systems Sc(414) 671-5720Prov. No.: 000000036437501 W Lincoln Ave �Milwaukee, WI 53207Language: EnglishGender: MaleNPI: 1356539845License: 2614License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 671-5745Accepts New Patients: YHospital Affiliation: N/A*

KNEEPKENS, Mark J.Doctors Denture Systems(414) 321-7274Prov. No.: 0000000364407500 W Lincoln Ave �Milwaukee, WI 53219Language: EnglishGender: MaleNPI: 1356539845License: 2614License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)KOENIG, David S.David S Koenig Dds(414) 354-9600Prov. No.: 0000000353644455 W Bradley RdMilwaukee, WI 53223Language: EnglishGender: MaleNPI: 1013047885License: 1346License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 355-7678Accepts New Patients: YHospital Affiliation: N/A*

KOTHA, AnushaFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012605228821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1124556170License: 1001550-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KOTLEWSKI, VyDental Associates Llc(414) 645-4540Prov. No.: 0000124918882100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1356377147License: 500147215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)KROL, Jadwiga A.Bay View Dental Care(414) 482-2090Prov. No.: 0000001385913380 S Kinnickinnic AveMilwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1043491574License: 4736License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 482-0265Accepts New Patients: YHospital Affiliation: N/A*

LANGEBERG, Allen D.Midwest Dental(414) 257-3366Prov. No.: 0000130548302600 N Mayfair Rd Ste 750Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LEE, Ja EunMitchel Street Dental(414) 383-2426Prov. No.: 000012237352710 W Historic Mitchell STMilwaukee, WI 53204Language: EnglishGender: FemaleNPI: 1386930394License: 6737-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (877) 335-3684Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)LEIST, Marli J.Midwest Dental(414) 257-3366Prov. No.: 0000126583942600 N Mayfair Rd Ste 750Milwaukee, WI 53226Language: EnglishGender: FemaleNPI: 1265961437License: 1001658-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LEWANDOWSKI, Donald J.Donald J Lewandowski Dds(414) 281-8040Prov. No.: 0000000304662017 W Howard AveMilwaukee, WI 53221Language: EnglishGender: MaleNPI: 1962680876License: 4001286License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LIN, KevinFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012506633821 S Layton BlvdMilwaukee, WI 53215Language: English, Farsi,SpanishGender: MaleNPI: 1639626955License: 100144115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)LIN, ShawnFamilia Dental River Glen Llc(888) 988-4066Prov. No.: 000012502317142 E Capitol DrMilwaukee, WI 53212Language: Chinese, English,MandarinGender: MaleNPI: 1003360272License: 1001444License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

LUDKE, JamesForward Dental(414) 327-6363Prov. No.: 0000006705598801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1316003924License: 3526-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

LUEDTKE, Kenneth F.Kenneth Luedtke Dds(414) 873-3020Prov. No.: 0000001969144943 W Fond Du Lac AveMilwaukee, WI 53216Language: EnglishGender: MaleNPI: 1861651655License: 5000666License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)MADRECHA, SmritiProgressive CommunityHealth Centers(414) 935-8000Prov. No.: 0000127626323522 W Lisbon AveMilwaukee, WI 53208Language: EnglishGender: FemaleNPI: 1508382276License: 1001654-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MAHJOUB, ReemBright Dental 1 Llc(414) 377-3808Prov. No.: 0000128483701300 W Lincoln AveMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1477908648License: 1001476License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MAHJOUB, ReemMilwaukee Dental Group(414) 464-1070Prov. No.: 0000128553555542 W Fond Du Lac Ave StE 1Milwaukee, WI 53216Language: EnglishGender: FemaleNPI: 1477908648License: 1001476License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-3797Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)MAHMOOD, Ola R.Familia Dental River Glen Llc(888) 988-4066Prov. No.: 000012435453142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1437501301License: 1001386License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MAI, Jonathan L.Familia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012642211821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1730603853License: 1001657-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MALHOTRA, AnupamFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012462287821 S Layton BlvdMilwaukee, WI 53215Language: English, HindiGender: FemaleNPI: 1780036376License: 1001393License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)MALHOTRA, AnupamFamilia Dental River Glen Llc(888) 988-4066Prov. No.: 000012462294142 E Capitol DrMilwaukee, WI 53212Language: English, HindiGender: FemaleNPI: 1780036376License: 1001393License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MANOS, MarcDental Associates at the IronBlock(414) 778-3600Prov. No.: 000012939565205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1851772701License: 1001106License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

MANSOUR, Mohammed A.Wisconsin Dental Group(414) 481-7400Prov. No.: 0000128973053030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)MANTHA, Murthy N.Dental Associates Llc(414) 645-4540Prov. No.: 0000124806832100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1750317509License: 2795-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

MARKENSON, James S.Port Road Dental Associates(414) 351-6300Prov. No.: 0000000364507725 N Port Washington Rd �Milwaukee, WI 53217Language: EnglishGender: MaleNPI: 1457536815License: 313215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-1286Accepts New Patients: YHospital Affiliation: N/A*

MATT, Jayne M.West Allis Dental Care Llc(414) 258-2500Prov. No.: 0000122523037130 W Greenfield AveMilwaukee, WI 53214Language: EnglishGender: FemaleNPI: 1639385347License: 6043-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 259-0876Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)MATT, Jayne M.Bay View Dental Care(414) 482-2090Prov. No.: 0000122528103380 S Kinnickinnic AveMilwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1639385347License: 6043-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 482-0265Accepts New Patients: YHospital Affiliation: N/A*

MAZUCHOWSKI, Raymond J.Familia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000126053385341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1255875944License: 1001463-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MCCARTHY, Thomas J.Marion Family Dental(414) 462-9420Prov. No.: 0000002365894302 N 76th StMilwaukee, WI 53222Language: EnglishGender: MaleNPI: 1265548325License: 5001433License Type: DBP DentistBoard Certified: NEmail:Fax: (414) 462-9436Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)MCCAULEY, PatriciaForward Dental(414) 481-7400Prov. No.: 0000001893143030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1326101635License: 2593-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*

MILLER, Donald V.Hampton Dental Associates(414) 464-9021Prov. No.: 0000000353385323 W Hampton AveMilwaukee, WI 53218Language: EnglishGender: MaleNPI: 1851401764License: 3828License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-6576Accepts New Patients: YHospital Affiliation: N/A*

MIYAMASU, PatrickFamilia Dental River Glen Llc(888) 988-4066Prov. No.: 000012199890142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1992933915License: 100113License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)MIYAMOTO, Courtney R.Dental Associates Llc(414) 645-4540Prov. No.: 0000130599762100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1891271987License: 1001957License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

MOLINA, Carissa A.Progressive CommunityHealth(414) 935-8000Prov. No.: 0000102155443522 W Lisbon AveMilwaukee, WI 53208Language: EnglishGender: FemaleNPI: 1609219757License: 7140-15License Type: DBP DentistBoard Certified: NEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MOOS, Jeffrey W.Midwest Dental(414) 541-3480Prov. No.: 0000125390675105 W Morgan AveMilwaukee, WI 53220Language: EnglishGender: MaleNPI: 1992827174License: 313915License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 541-6845Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)MURRAR, InasDental Associates Llc(414) 645-4540Prov. No.: 0000125886892100 Miller Park WayMilwaukee, WI 53219Language: Arabic, EnglishGender: FemaleNPI: 1699192252License: 7240-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

MYKLEBY, Geoffrey L.Mykleby and Thao Dds Llc(414) 453-0445Prov. No.: 0000000784598700 W Watertown Plank RdMilwaukee, WI 53226Language: EnglishGender: MaleNPI: 1518011485License: 2409License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

NADI, TawfiqSwan Dental(414) 323-1000Prov. No.: 0000122484642669 N Swan Blvd �Milwaukee, WI 53226Language: Arabic, EnglishGender: MaleNPI: 1770856700License: 683915License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 323-1111Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)NASTASE, DorinaFamilia Dental River Glen Llc(888) 988-4066Prov. No.: 000012199888142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1154707388License: 1001194License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

NEU, Natalie R.Aids Resource Center ofWisconsin Inc(920) 437-7400Prov. No.: 000002299285820 N Plankinton Ave �Milwaukee, WI 53203Language: EnglishGender: FemaleNPI: 1164593893License: 5768License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 225-1628Accepts New Patients: YHospital Affiliation: N/A*

NIEDZIELA, Jeffrey S.Forward Dental(414) 543-3301Prov. No.: 0000006619845100 W Forest Home Ave StE 203Milwaukee, WI 53219Language: EnglishGender: MaleNPI: 1164436614License: 6008-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-1679Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)OCHOA, Pedro R.Milwaukee Health Services(414) 760-7200Prov. No.: 0000089779418200 W Silver Spring Dr �Milwaukee, WI 53218Language: EnglishGender: MaleNPI: 1942642103License: 7115-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-7258Accepts New Patients: YHospital Affiliation: N/A*

OCHOWICZ, Lynelle M.Lynelle Ochowicz Dds(414) 961-2121Prov. No.: 0000000382604425 N Port Washington RdSte 103Milwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1649385964License: 4503License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 962-2102Accepts New Patients: YHospital Affiliation: N/A*

OKTENER, AyseAyse Oktener Dds(414) 258-2216Prov. No.: 0000002779862669 S 92nd StMilwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1659483253License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)OMAR, HamzaDestiny Dental(414) 455-8805Prov. No.: 0000130008941838 S 15th StMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1184095028License: 1001185-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*

OPHEIM, Kara L.Familia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012787544821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1306257134License: 1000957-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PAGENKOPF, Jon J.Wisconsin Dental Group ScDba Forward Dental(414) 276-5453Prov. No.: 0000002191601575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1184772709License: 5002138-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)PAGENKOPF, Jon J.Forward Dental(414) 327-6363Prov. No.: 0000006618898801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1184772709License: 5002138-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

PANOS, George C.Douglas Persich(414) 258-2500Prov. No.: 0000122263097130 W Greenfield AveMilwaukee, WI 53214Language: EnglishGender: MaleNPI: 1407057441License: 3806-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 259-0876Accepts New Patients: YHospital Affiliation: N/A*

PANOS, George C.Hampton Dental Associates Sc(414) 464-9021Prov. No.: 0000123205665323 W Hampton AveMilwaukee, WI 53218Language: EnglishGender: MaleNPI: 1407057441License: 3806-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 464-6576Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)PAPE, Richard J.Dental Associates Llc(414) 645-4540Prov. No.: 0000131765272100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000013176545205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.Dental Associates at Beerline(414) 435-5850Prov. No.: 000013176546220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)PARIS, David A.David A Paris Dds(414) 272-7747Prov. No.: 000000027939225 E Michigan St Ste G533Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1770622813License: 4582015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 272-5321Accepts New Patients: YHospital Affiliation: N/A*

PARK, AidanFamilia Dental River Glen Llc(888) 988-4066Prov. No.: 000012502356142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1639626450License: 100142115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PARK, SunjooFamilia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000124363475341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: FemaleNPI: 1467801258License: 1001347License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)PATEL, Amit M.Dental Associates Llc(414) 645-4540Prov. No.: 0000126371742100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1184145633License: 1001631-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

PATEL, PratikChandok Sham S(414) 377-3808Prov. No.: 0000128527751300 W Lincoln AveMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1598147027License: 1001761-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PATEL, PratikMilwaukee Dental Group(414) 464-1070Prov. No.: 0000128527815542 W Fond Du Lac Ave StE 1Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1598147027License: 1001761-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-3797Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)PATEL, ReemaSweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000128960813113 S 13th StMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1033601695License: 1001825License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, Celestino F.The Mid-City Dental Group Sc(414) 344-1628Prov. No.: 0000000380706815 W Capitol Dr Ste 200Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1306950902License: 4635License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PERSICH, Douglas J.West Allis Dental Care Llc(414) 258-2500Prov. No.: 0000000814177130 W Greenfield AveMilwaukee, WI 53214Language: EnglishGender: MaleNPI: 1205082377License: 5001644-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 238-6881Accepts New Patients: NHospital Affiliation: N/A*


Milwaukee (Cont.)PERSICH, Douglas J.Bayview Dental Care(414) 482-2090Prov. No.: 0000001221533380 S Kinnickinnic AveMilwaukee, WI 53207Language: EnglishGender: MaleNPI: 1205082377License: 5001644-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 482-0265Accepts New Patients: YHospital Affiliation: N/A*

PRESSWALA, Azim A.Azimpress Azimpress(414) 489-7648Prov. No.: 0000001809828411 W Lincoln Ave �Milwaukee, WI 53227Language: English, HindiGender: MaleNPI: 1649475054License: 5573-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 489-7670Accepts New Patients: YHospital Affiliation: N/A*

PRESSWALA, Azim A.Azim Presswala(414) 489-7648Prov. No.: 0000125516894359 S Howell AveMilwaukee, WI 53207Language: English, HindiGender: MaleNPI: 1649475054License: 5573-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)PULAPAKA, SirishaSweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000125446473113 S 13th StMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1023364510License: 696915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*

RAHEMTULLA, Habib A.G Dental Llc(414) 258-6330Prov. No.: 0000129132087635 W Bluemound Rd Ste 208Milwaukee, WI 53213Language: EnglishGender: MaleNPI: 1073005476License: 1001841-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (414) 258-3622Accepts New Patients: YHospital Affiliation: N/A*

RAKOWSKY, Nina A.Dental Associates Llc(414) 645-4540Prov. No.: 0000129458342100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1962980102License: 1001905-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)RANGNEKAR, Ishan R.Familia Dental River Glen Llc(888) 988-4066Prov. No.: 000012422895142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1336597863License: 100129315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

REDDY, Nagaveni M.Capitol Family Dental Clinic(414) 461-4140Prov. No.: 0000003668268422 W Capitol Dr �Milwaukee, WI 53222Language: EnglishGender: FemaleNPI: 1568674976License: 2860License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (414) 461-5033Accepts New Patients: YHospital Affiliation: N/A*

REET KAUR, RaunaqFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012461088821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1932552189License: 1001400License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)REHMAN, Syed S.Milwaukee Dental Group(414) 464-1070Prov. No.: 0000124217555542 W Fond Du Lac Ave StE 1Milwaukee, WI 53216Language: English, Hindi,Spanish, UrduGender: MaleNPI: 1316321722License: 100119115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-3797Accepts New Patients: YHospital Affiliation: N/A*

REHMAN, Syed S.Bright Dental Llc(414) 377-3808Prov. No.: 0000125264071300 W Lincoln AveMilwaukee, WI 53215Language: English, Hindi,Spanish, UrduGender: MaleNPI: 1316321722License: 100119115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

REHORST, Mark K.Aids Resource Center ofWisconsin(414) 223-6800Prov. No.: 000012577730820 N Plankinton Ave �Milwaukee, WI 53203Language: EnglishGender: MaleNPI: 1457620031License: 680715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 225-1628Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)RIFFLE, Cynthia M.Progressive CommunityHealth Centers(414) 935-8000Prov. No.: 0000125783353522 W Lisbon AveMilwaukee, WI 53208Language: EnglishGender: FemaleNPI: 1831236587License: 3372-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RITTBERG, Richard D.Wisconsin Health Fund Dental(414) 771-5600Prov. No.: A000000160806200 W Bluemound Rd �Milwaukee, WI 53213Language: EnglishGender: MaleNPI: 1023203403License: 500187515License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 771-2540Accepts New Patients: YHospital Affiliation: N/A*

RUZICKA, James F.Wisconsin Dental Group ScDba Forward Dental(414) 276-5453Prov. No.: 0000002243861575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1356493001License: 2840-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)RUZICKA, James F.Forward Dental(414) 327-6363Prov. No.: 0000006705748801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1356493001License: 2840-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

SAEIAN, KamyarKamyar Saeian Dental Inc(414) 967-0993Prov. No.: 0000125232973970 N Oakland Ave Ste 501Milwaukee, WI 53211Language: EnglishGender: MaleNPI: 1912109752License: 3666015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SAJAN, Murtaza M.Murtaza M Sajan Dds Inc Sc(414) 210-6222Prov. No.: 0000121755299134 W Silver Spring Dr �Milwaukee, WI 53225Language: EnglishGender: MaleNPI: 1255691697License: 6923-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 755-7616Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)SAVAGLIO III, Alessandro J.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000012034262205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1477564722License: 3636-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

SCHMIDT, Carleen L.Forward Dental(414) 481-7400Prov. No.: 0000001138363030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1205848173License: 3970-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*

SCHMIDT, MichaelMichael C Schmidt Dds(414) 546-5440Prov. No.: 0000129252226316 W Forest Home AveMilwaukee, WI 53220Language: EnglishGender: MaleNPI: 1407045131License: 5001648License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)SCHNOLL, Steven R.Swan Dental(414) 323-1000Prov. No.: 0000122017542669 N Swan Blvd �Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1366554941License: 3039License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 323-1111Accepts New Patients: YHospital Affiliation: N/A*

SEHRA, PamelaDental Associates Llc(414) 645-4540Prov. No.: 0000126346312100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1922528157License: 1001627-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

SEUBERT, AaronForward Dental(414) 276-5453Prov. No.: 0000126249341575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1962938605License: 1001609-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)SEYMOUR, CopelinMitchel Street Dental(414) 383-2426Prov. No.: 000012215665710 W Historic Mitchell STMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1861869158License: 100101915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (877) 335-3684Accepts New Patients: YHospital Affiliation: N/A*

SHARMA, Jagan N.Mitchel Street Dental(414) 383-2426Prov. No.: 000012173985710 W Historic Mitchell STMilwaukee, WI 53204Language: English, HindiGender: MaleNPI: 1275915902License: 100112915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (877) 335-3684Accepts New Patients: YHospital Affiliation: N/A*

SHARMA, Jagan N.Sweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000124441303113 S 13th StMilwaukee, WI 53215Language: English, HindiGender: MaleNPI: 1275915902License: 100112915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)SHARMA, Jagan N.Milwaukee Dental Group(414) 464-1070Prov. No.: 0000125387871300 W Lincoln AveMilwaukee, WI 53215Language: English, HindiGender: MaleNPI: 1275915902License: 100112915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 930-4132Accepts New Patients: YHospital Affiliation: N/A*

SHARMA, Jagan N.Milwaukee Dental Group(414) 464-1070Prov. No.: 0000125388425542 W Fond Du Lac Ave StE 1Milwaukee, WI 53216Language: English, HindiGender: MaleNPI: 1275915902License: 100112915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-3797Accepts New Patients: YHospital Affiliation: N/A*

SHAY (SOBOLINSKI), Amy M.Progressive CommunityHealth(414) 935-8000Prov. No.: 0000121063993522 W Lisbon AveMilwaukee, WI 53208Language: EnglishGender: FemaleNPI: 1780021642License: 7086-15License Type: DBP DentistBoard Certified: NEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)SIDHU, Paramjit S.Capitol Family Dental Clinic(414) 461-4140Prov. No.: 0000000300828422 W Capitol Dr �Milwaukee, WI 53222Language: EnglishGender: MaleNPI: 1588876999License: 2560License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (414) 461-5033Accepts New Patients: YHospital Affiliation: N/A*

SIDHU, Paramjit S.J S Sidhu & Associates(414) 771-5588Prov. No.: 0000000300851417 S 108th St �Milwaukee, WI 53214Language: EnglishGender: MaleNPI: 1588876999License: 2560License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SIEHOFF, Mariela G.Family Dental of South EastWisconsin(414) 321-2720Prov. No.: 00001298588710202 W Hayes Ave �Milwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1033520770License: 7237License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 321-7718Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)SINGH, ShameenaFamilia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000126092255341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: English, IndianGender: FemaleNPI: 1184152167License: 1001563-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

SKARIE, William R.Midwest Dental(414) 541-3480Prov. No.: 0000125228055105 W Morgan AveMilwaukee, WI 53220Language: EnglishGender: MaleNPI: 1295722361License: 5001661-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 541-6845Accepts New Patients: YHospital Affiliation: N/A*

SMAGLICK, Paul R.Paul R Smaglick Dds Llc(414) 271-1246Prov. No.: 000012494231735 N Water St Ste 716Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1285727651License: 2839License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 271-1247Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)SMITH, Daniel P.Paul D Smith Dds(414) 645-0365Prov. No.: 0000127823563520 W Oklahoma AveMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1972881787License: 676915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Paul D.Paul D Smith Dds(414) 645-0365Prov. No.: 0000000890723520 W Oklahoma AveMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1093886368License: 229815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SMOLINSKI, SavannahMidwest Dental(414) 257-3366Prov. No.: 0000052997152600 N Mayfair Rd Ste 750Milwaukee, WI 53226Language: EnglishGender: FemaleNPI: 1497015036License: 6904-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)SODHI, ReetikaForward Dental(414) 276-5453Prov. No.: 0000120950541575 N Rivercenter DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1073848800License: 6799-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 276-1715Accepts New Patients: YHospital Affiliation: N/A*

SODHI, ReetikaForward Dental(414) 481-7400Prov. No.: 0000121088793030 S Chase AveMilwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1073848800License: 6799-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-0173Accepts New Patients: YHospital Affiliation: N/A*

SURAMPUDI, DeepthaMilwaukee Dental Group Sc(414) 464-1070Prov. No.: 0000129954275542 W Fond Du Lac AveMilwaukee, WI 53216Language: EnglishGender: FemaleNPI: 1831591106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)SUSARLA, AdvaitaFamilia Dental River Glen Llc(888) 988-4066Prov. No.: 000012744842142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1346756533License: 1001729-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

SUSARLA, AdvaitaFamilia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012839295821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1346756533License: 1001729-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

SYED, TanwirTanwir Syed(414) 464-6300Prov. No.: 0000124790746719 W Capitol DrMilwaukee, WI 53216Language: EnglishGender: MaleNPI: 1679561724License: 2521License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-2874Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)SYRJAMAKI, Stephen J.Midwest Dental(414) 257-3366Prov. No.: 0000065106582600 N Mayfair Rd Ste 750Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1558624429License: 6928-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TADYCH, John R.Wauwatosa Dental Group Sc(414) 257-3366Prov. No.: 0000119995882600 N Mayfair Rd Ste 750Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1760791883License: 338215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TANTY, TimothyWisconsin Dental Group ScDba Forward Dental(414) 543-3301Prov. No.: 0000002974875100 W Forest Home Ave StE 203Milwaukee, WI 53219Language: EnglishGender: MaleNPI: 1679630081License: 5881-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-1679Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)TECLAW, Jerome M.Jerome M Teclaw Dds Sc(414) 541-5800Prov. No.: 0000006313313216 S 92nd St �Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1669439642License: 274515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (414) 541-5852Accepts New Patients: YHospital Affiliation: N/A*

TERLECKE, Linda J.Doctors Denture Systems(414) 463-5480Prov. No.: 0000000364359008 W Burleigh St �Milwaukee, WI 53222Language: EnglishGender: FemaleNPI: 1679754774License: 3040License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TERLECKE, Linda J.Doctors Denture Systems(414) 321-7274Prov. No.: 0000121681557500 W Lincoln Ave �Milwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1679754774License: 3040License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)TERLECKE, Linda J.Doctors Denture Systems Sc(414) 671-5720Prov. No.: 000012317396501 W Lincoln Ave �Milwaukee, WI 53207Language: EnglishGender: FemaleNPI: 1679754774License: 3040License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 671-5745Accepts New Patients: YHospital Affiliation: N/A*

TESCH, Eric P.Midwest Dental(414) 354-9020Prov. No.: 0000000327557906 N 76th St �Milwaukee, WI 53223Language: EnglishGender: MaleNPI: 1457484552License: 4719License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 354-4420Accepts New Patients: YHospital Affiliation: N/A*

TESCH, Eric P.Dr Molar Family Dentistry(414) 431-1245Prov. No.: 00000070603910375 W Oklahoma Ave �Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1457484552License: 4719License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 431-1951Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)TONER, Justen J.Justen Toner Dds Llc(414) 764-5770Prov. No.: 0000012811076203 S Howell Ave �Milwaukee, WI 53207Language: EnglishGender: MaleNPI: 1811040587License: 5769-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 764-5175Accepts New Patients: YHospital Affiliation: N/A*

TUBIC, SusanForward Dental(414) 327-6363Prov. No.: 0000006705828801 W National AveMilwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1366509788License: 4634-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

VALUSEK, James K.James Kevin Valusek Dds(414) 357-7580Prov. No.: 0000003011556051 W Brown Deer Rd Ste105Milwaukee, WI 53223Language: EnglishGender: MaleNPI: 1104011584License: 3737-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)VISAYA, Christopher M.Forward Dental(414) 327-6363Prov. No.: 0000006622838801 W National AveMilwaukee, WI 53227Language: EnglishGender: MaleNPI: 1821146473License: 4929-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

WALKER, LaurieForward Dental(414) 327-6363Prov. No.: 0000006618538801 W National AveMilwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1366509697License: 4479-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

WARD, L S.L Ward(414) 464-6820Prov. No.: 0000000235053970 N 86th St �Milwaukee, WI 53222Language: EnglishGender: MaleNPI: 1497020770License: 5001250License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 464-6820Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)WHITE, Mark A.Familia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000124259215341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1114376225License: 1001296License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WILBUR, RichardMarion Family Dental Inc(414) 462-9420Prov. No.: 0000003222534302 N 76th StMilwaukee, WI 53222Language: EnglishGender: MaleNPI: 1174747687License: 5001682015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 462-9436Accepts New Patients: YHospital Affiliation: N/A*

WILLDING, Robert S.Gerald L Ignace Indian HealthCenter(414) 383-9526Prov. No.: 000012967091930 W Historic Mitchell STMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1821292806License: 5001090License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)WINTER, Bruce K.Hampton Dental Associates(414) 464-9021Prov. No.: 0000000353395323 W Hampton AveMilwaukee, WI 53218Language: EnglishGender: MaleNPI: 1184767139License: 3057License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-6576Accepts New Patients: YHospital Affiliation: N/A*

WINTER, Richard B.Hampton Dental Associates(414) 464-9021Prov. No.: 0000000353415323 W Hampton AveMilwaukee, WI 53218Language: EnglishGender: MaleNPI: 1548303910License: 3959License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 464-6576Accepts New Patients: YHospital Affiliation: N/A*

WISNIEWSKI, Kenneth J.Kj Wisniewski Dds Sc(414) 645-2020Prov. No.: 0000001240543339 S 16th St �Milwaukee, WI 53215Language: EnglishGender: MaleNPI: 1811923378License: 5002072-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 312-8839Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)WORTH, Chris M.Familia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000125611495341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: MaleNPI: 1184852998License: 1001462License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WOZNIAK, Jerzy E.Aids Resource Center ofWisconsin Inc(920) 437-7400Prov. No.: 000012555083820 N Plankinton Ave �Milwaukee, WI 53203Language: EnglishGender: MaleNPI: 1063628006License: 100120415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 225-1628Accepts New Patients: YHospital Affiliation: N/A*

XIONG, Mai J.Milwaukee Health Services Inc(414) 267-2671Prov. No.: 0000120953588200 W Silver Spring Dr �Milwaukee, WI 53218Language: EnglishGender: FemaleNPI: 1861703365License: 667115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)XIONG, Mai J.Milwaukee Health Services Inc(414) 267-2670Prov. No.: 0000120953592555 N Dr Martin Luther K �Ing DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1861703365License: 667115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

YANG, Kwon C.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000012944016205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1801387501License: 1001872License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

YU, BoydSweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000125855583113 S 13th StMilwaukee, WI 53215Language: EnglishGender: MaleNPI: 1508311945License: 1001478-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)YUN, Jae HyukDestiny Dental(414) 455-8805Prov. No.: 0000129848231838 S 15th StMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1477039998License: 1001910License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*

ZABKOWICZ, John C.John C Zabkowicz Dds(414) 744-6777Prov. No.: 000000306728924 W Oklahoma Ave �Milwaukee, WI 53215Language: EnglishGender: MaleNPI: 1992848428License: 2972015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 744-3484Accepts New Patients: YHospital Affiliation: N/A*

ZHU, WendyDental Associates Llc(414) 645-4540Prov. No.: 0000124918892100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1356895593License: 1001405License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Oak Creek

ALBERTI, HanaWisconsin Dental Group DbaForward Dental(414) 216-9211Prov. No.: 0000124674337955 S Main StOak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1902963432License: 5919-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 216-9216Accepts New Patients: YHospital Affiliation: N/A*

BHATTAL, Gaganpreet K.Aspen Dental(414) 762-5200Prov. No.: 0000126341868241 S Howell Ave Ste 100 �Oak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1619499167License: 1001651License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

BOLEK, Margaret T.Margaret Bolek Dds(414) 761-9902Prov. No.: 0000001121762603 W Rawson Ave Ste 123Oak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1821259227License: 4343License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 761-9904Accepts New Patients: YHospital Affiliation: N/A*


Oak Creek (Cont.)CHRISTOPHERSON, Abbey L.Aspen Dental(414) 762-5200Prov. No.: 0000128981748241 S Howell Ave Ste 100 �Oak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1083106553License: 1001840License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

CLAUSIUS, Michael C.Michael C Clausius Dds(414) 762-0200Prov. No.: 0000002412798725 S Howell AveOak Creek, WI 53154Language: EnglishGender: MaleNPI: 1437370129License: 2501-15License Type: DBP DentistBoard Certified: NEmail: [email protected] omFax: (414) 762-2857Accepts New Patients: YHospital Affiliation: N/A*

HARTMAN, Kristen M.Kristen M Hartman and KristiM Tolzman Dds Sc(414) 483-1820Prov. No.: 000000633836280 E Centennial DrOak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1669685178License: 4805-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (414) 483-1821Accepts New Patients: NHospital Affiliation: N/A*




Oak Creek (Cont.)HASSAN, Zubair U.Aspen Dental(414) 762-5200Prov. No.: 0000125760058241 S Howell Ave Ste 100 �Oak Creek, WI 53154Language: English, SpanishGender: MaleNPI: 1942651591License: 1001370-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

HOLMES, Peter N.Aspen Dental(315) 454-6000Prov. No.: 0000129092688241 S Howell Ave Ste 100 �Oak Creek, WI 53154Language: EnglishGender: MaleNPI: 1629560248License: 1001878License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

LENZ GALBREATH, Kristin M.Oak Leaf Family Dental(414) 304-5425Prov. No.: 0000122294358907 S Howell Ave Ste 400Oak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1760740047License: 6983-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oak Creek (Cont.)MANSOUR, Mohammed A.Wisconsin Dental Group(414) 216-9211Prov. No.: 0000128973067955 S Main StOak Creek, WI 53154Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 216-9216Accepts New Patients: YHospital Affiliation: N/A*

MEHRA, Surinder K.Family Dentistry - Oakcreek(414) 761-2450Prov. No.: 0000000273456312 S 27th St �Oak Creek, WI 53154Language: English, HindiGender: MaleNPI: 1255503140License: 5001748License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 375-7760Accepts New Patients: YHospital Affiliation: N/A*

MORTON, Linnea E.Aspen Dental(414) 762-5200Prov. No.: 0000122144938241 S Howell Ave Ste 100 �Oak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1821439308License: 7128-15License Type: DBP DentistBoard Certified: NEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Oak Creek (Cont.)POHL, Emily A.Oak Leaf Family Dental(414) 304-5425Prov. No.: 0000129733438907 S Howell Ave Ste 400Oak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1639609605License: 1001649-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SALEKI, EhsanOak Creek Dental Care(414) 762-9010Prov. No.: 000012741620132 E Drexel AveOak Creek, WI 53154Language: EnglishGender: MaleNPI: 1346553559License: 6560License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SEFTON, Valerie M.Aspen Dental(414) 762-5200Prov. No.: 0000126999158241 S Howell Ave Ste 100 �Oak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1316461569License: 1001676License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Oak Creek (Cont.)THORNTON, Eric R.Oak Leaf Family Dental(414) 304-5425Prov. No.: 0000124632978907 S Howell Ave Ste 400Oak Creek, WI 53154Language: EnglishGender: MaleNPI: 1164873766License: 1001377-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TOLZMAN, Kristi M.Kristen M Hartman and KristiM Tolzman Dds Sc(414) 483-1820Prov. No.: 000000172083280 E Centennial DrOak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1417160912License: 5317License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (414) 483-1821Accepts New Patients: YHospital Affiliation: N/A*

TRAN, Diep N.Wisconsin Dental Group ScDba Forward Dental(414) 216-9211Prov. No.: 0000124674347955 S Main StOak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1386055903License: 1001195-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 216-9216Accepts New Patients: YHospital Affiliation: N/A*




Oak Creek (Cont.)WARNER, MarkSouthshore Dental Group Llc(414) 571-6387Prov. No.: 0000002551547270 S 13th St Ste 101Oak Creek, WI 53154Language: EnglishGender: MaleNPI: 1700897758License: 5541015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 571-6389Accepts New Patients: YHospital Affiliation: N/A*

WERWIE, John M.Wisconsin Dental Group DbaForward Dental(414) 216-9211Prov. No.: 0000124674357955 S Main StOak Creek, WI 53154Language: EnglishGender: MaleNPI: 1376578328License: 5001848-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 216-9216Accepts New Patients: YHospital Affiliation: N/A*

Shorewood

BROOKES, Edwin S.Acacia Dental Care Llc(414) 212-8291Prov. No.: 0000125911843970 N Oakland Ave Ste 602Shorewood, WI 53211Language: EnglishGender: MaleNPI: 1629097662License: 100116915License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 212-8471Accepts New Patients: YHospital Affiliation: N/A*


Shorewood (Cont.)COLOSIMO, Peter P.Shorewood Family DentistryLlc(414) 332-8150Prov. No.: 0000000405873970 N Oakland Ave Ste 702Shorewood, WI 53211Language: EnglishGender: MaleNPI: 1952521098License: 5000888License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (414) 332-6202Accepts New Patients: YHospital Affiliation: N/A*

KUSIK, Clarence E.Clarence E Kusik Dds(414) 332-7700Prov. No.: 0000126939322321 E Capitol DrShorewood, WI 53211Language: EnglishGender: MaleNPI: 1245407550License: 0432015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WEI, YuqiangShorewood Dental(414) 332-7700Prov. No.: 0000104028682321 E Capitol DrShorewood, WI 53211Language: Chinese, EnglishGender: FemaleNPI: 1649469339License: 6451015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 939-8691Accepts New Patients: YHospital Affiliation: N/A*


South Milwaukee

COSTELLO, Michael L.Grant Park Dental Sc(414) 764-6070Prov. No.: 0000000774151333 College Ave Ste C �South Milwaukee, WI 53172Language: EnglishGender: MaleNPI: 1073527222License: 273615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 764-3035Accepts New Patients: YHospital Affiliation: N/A*

SHINNERS, Michael K.Michael K Shinners Dds Sc(414) 764-0212Prov. No.: 0000001124531113 College Ave Ste B �South Milwaukee, WI 53172Language: EnglishGender: MaleNPI: 1437322559License: 5001798License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 764-1512Accepts New Patients: NHospital Affiliation: N/A*

Wauwatosa

ABBAS, KomailDental Associates Ltd(414) 771-2345Prov. No.: 00001325528011711 W Burleigh St �Wauwatosa, WI 53222Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)ARIF-HOLMES, Lakisha N.Mayfair Family Dentistry(414) 259-0665Prov. No.: 00001262463211637 W North Ave �Wauwatosa, WI 53226Language: EnglishGender: FemaleNPI: 1982867024License: 6448-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 259-1057Accepts New Patients: YHospital Affiliation: N/A*

BOYD, Timolin L.Tl Boyd Dental Services(414) 763-6917Prov. No.: 0000026196671701 N Mayfair RdWauwatosa, WI 53226Language: EnglishGender: FemaleNPI: 1265625412License: 4460015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BURES, DanielDaniel Bures Dds(414) 257-2800Prov. No.: 0000001106698736 W North AveWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1730221607License: 5001878License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 257-2427Accepts New Patients: YHospital Affiliation: N/A*




Wauwatosa (Cont.)CLANCY, Patrick T.Patrick Clancy(414) 454-0700Prov. No.: 00001303661111904 W North AveWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1699205336License: 1001596License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DE LEON ANDRINO, Morris J.Dental Associates Ltd(414) 771-2345Prov. No.: 00001209817711711 W Burleigh St �Wauwatosa, WI 53222Language: English, SpanishGender: MaleNPI: 1164713806License: 716515License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

FERENTCHAK, KennethKenneth P Ferentchak Dds(414) 771-4480Prov. No.: 0000000910471011 N Mayfair Rd Ste 303 �Wauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1003914607License: 4039License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 771-8862Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)GORMAN, Robin A.Highland Park FamilyDentistry Sc(414) 475-9035Prov. No.: 0000002584006101 W Vliet St Ste 101Wauwatosa, WI 53213Language: EnglishGender: FemaleNPI: 1316004864License: 4097License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 475-9039Accepts New Patients: YHospital Affiliation: N/A*

GRZYBOWSKI, Richard J.Dental Associates Ltd(414) 771-2345Prov. No.: 00000023335711711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1679675987License: 3572License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

HURLEY, Amanda L.Dental Associates(414) 771-2345Prov. No.: 00001263667011711 W Burleigh StWauwatosa, WI 53222Language: EnglishGender: FemaleNPI: 1215466826License: 1001593-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)IBRAHEM, Marwan N.Marwan IbrahemProv. No.: 00001311202911040 W Bluemound RdWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1659843746License: 1001902License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KIRKPATRICK, Timothy R.Bluemound Dental Group Inc(414) 476-4777Prov. No.: 00001262950811040 W Bluemound RdWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1447375431License: 500210615License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 476-7772Accepts New Patients: YHospital Affiliation: N/A*

KIRKPATRICK, Timothy R.Bluemound Dental Group Inc(414) 476-4777Prov. No.: A0000001543611040 W Bluemound Rd Ste201Wauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1447375431License: 500210615License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 476-7772Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)LENTZ, Melissa C.Highland Park FamilyDentistry Sc(414) 475-9035Prov. No.: 0000130267556101 W Vliet St Ste 101Wauwatosa, WI 53213Language: EnglishGender: FemaleNPI: 1962815324License: 7255-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 475-9039Accepts New Patients: YHospital Affiliation: N/A*

LLOYD, David G.David Lloyd Dds(414) 453-1423Prov. No.: 00000008917510425 W North AveWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1679631550License: 2810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 453-1477Accepts New Patients: YHospital Affiliation: N/A*

LUECHT, Jason L.Jason Luecht(414) 771-4480Prov. No.: 0000125646981011 N Mayfair Rd Ste 303Wauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1659682540License: 6531-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 771-8862Accepts New Patients: YHospital Affiliation: N/A*




Wauwatosa (Cont.)MANSOUR, Mohammed A.Dental Associates Ltd(414) 771-2345Prov. No.: 00001260471811711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

NEGLIA, Michael M.Dental Arts Associates(414) 462-3160Prov. No.: 00001249322211600 W North AveWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1811336647License: 1001277-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 462-4556Accepts New Patients: YHospital Affiliation: N/A*

NEU, Natalie R.Neu Family Dentistry Sc(414) 258-8444Prov. No.: 0000124273612600 N Mayfair Rd Ste 450Wauwatosa, WI 53226Language: EnglishGender: FemaleNPI: 1164593893License: 5768License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)PAPE, Richard J.Dental Associates Ltd(414) 771-2345Prov. No.: 00001317652311711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

PATEL, Brijesh D.Dental Associates Ltd(414) 771-2345Prov. No.: 00001221348511711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1811126196License: 6991License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

PAUKNER, Keith R.Keith R Paukner Dds(414) 259-1531Prov. No.: 00000003545510625 W North Ave Ste 329Wauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1437168606License: 5001820-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 259-1622Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)RICKARD, Paul V.Dental Associates Ltd(414) 771-2345Prov. No.: 00001279411111711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

ROSEN, Richard L.Richard L Rosen Dmd(414) 462-3160Prov. No.: 00000069300411600 W North AveWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1558305250License: 2785-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROSEN, ZacharyDental Arts Associates(414) 462-3160Prov. No.: 00000610550111600 W North AveWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1356788798License: 7045-15License Type: DBP DentistBoard Certified: NEmail:Fax: (414) 462-4556Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)SANDBERG, MatthewFirefly Family Dentistry(414) 258-8190Prov. No.: 0000121468696535 W North Ave �Wauwatosa, WI 53213Language: EnglishGender: MaleNPI: 1851617229License: 6664-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 258-3156Accepts New Patients: YHospital Affiliation: N/A*

SUKOWATEY, PerryPerry W Sukowatey Dds Ltd(414) 258-8444Prov. No.: 0000000906422600 N Mayfair Rd Ste 450Wauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1336318716License: 3056015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WARD, James T.Dental Associates Ltd ofWisconsin(414) 771-2345Prov. No.: 00001291302911711 W Burleigh StWauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




West Allis

ALKHANDAK, ImanAdvanced Dental(414) 914-7000Prov. No.: 0000127052806425 W Greenfield AveWest Allis, WI 53214Language: Arabic, EnglishGender: FemaleNPI: 1407206618License: 100133715License Type: DBP DentistBoard Certified: Not ReportedEmail: staff@advanceddnt. comFax: (414) 914-8000Accepts New Patients: YHospital Affiliation: N/A*

COAKLEY, James R.James R Coakley Dds(414) 541-8900Prov. No.: 0000000840468900 W Lincoln AveWest Allis, WI 53227Language: EnglishGender: MaleNPI: 1134271349License: 342515License Type: DBP DentistBoard Certified: Not ReportedEmail: jamescoakley1@att. netFax: (414) 541-6680Accepts New Patients: YHospital Affiliation: N/A*

GLOYECK, AlvinA William Gloyeck Dds(414) 545-4440Prov. No.: 00000003731810401 W Lincoln Ave Ste 102West Allis, WI 53227Language: EnglishGender: MaleNPI: 1255393336License: 500199915License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 545-4441Accepts New Patients: YHospital Affiliation: N/A*


West Allis (Cont.)HAMDAN, Monther I.Advance Dental Llc(414) 914-7000Prov. No.: 0000131646166425 W Greenfield Ave �West Allis, WI 53214Language: Arabic, EnglishGender: MaleNPI: 1821490251License: 1001015-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 914-8000Accepts New Patients: YHospital Affiliation: N/A*

HOFFNER, SlatonWisconsin Oral Surgery &Dental Implatns Sc(414) 327-4130Prov. No.: 00001256406910401 W Lincoln Ave Ste 101West Allis, WI 53227Language: EnglishGender: MaleNPI: 1295123529License: 100107015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 327-4218Accepts New Patients: YHospital Affiliation: N/A*

LANG, Jeffrey R.Rlj Dental West Allis(414) 327-4100Prov. No.: 00000037569710401 W Lincoln Ave Ste 1 �03West Allis, WI 53227Language: EnglishGender: MaleNPI: 1467533224License: 5069-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-9830Accepts New Patients: YHospital Affiliation: N/A*


West Allis (Cont.)MROCZKOWSKI, Paul C.Paul C Mroczkowski Dds(414) 321-7744Prov. No.: 0000002693323044 S 92nd StWest Allis, WI 53227Language: EnglishGender: MaleNPI: 1194862763License: 2514-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 321-7752Accepts New Patients: YHospital Affiliation: N/A*

NADI, TawfiqAdvance Dental Llc(414) 914-7000Prov. No.: 0000120409076425 W Greenfield Ave �West Allis, WI 53214Language: Arabic, EnglishGender: MaleNPI: 1770856700License: 683915License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 914-8000Accepts New Patients: YHospital Affiliation: N/A*

PETTY, John A.Rlj Dental Sc(414) 327-4100Prov. No.: 00001310993910401 W Lincoln Ave Ste 1 �03West Allis, WI 53227Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-9830Accepts New Patients: YHospital Affiliation: N/A*


West Allis (Cont.)SCHWAB, Michael A.Michael A Schwab Dds(414) 545-5030Prov. No.: 00000003318410401 W Lincoln Ave Ste 2 �05West Allis, WI 53227Language: EnglishGender: MaleNPI: 1962514281License: 2533License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 545-6251Accepts New Patients: YHospital Affiliation: N/A*

SEYMOUR, CopelinDnt Associates Inc(414) 321-7700Prov. No.: 0000125393812572 S 76th St �West Allis, WI 53219Language: EnglishGender: MaleNPI: 1861869158License: 100101915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (817) 335-3684Accepts New Patients: YHospital Affiliation: N/A*

SHARMA, Jagan N.Dnt Associates Inc(414) 321-7700Prov. No.: 0000121739862572 S 76th St �West Allis, WI 53219Language: English, HindiGender: MaleNPI: 1275915902License: 100112915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (817) 335-3684Accepts New Patients: YHospital Affiliation: N/A*




West Allis (Cont.)SIERRA, Jose A.Rlj Dental Sc(414) 327-4100Prov. No.: 00001305225210401 W Lincoln Ave Ste 1 �03West Allis, WI 53227Language: English, SpanishGender: MaleNPI: 1386095503License: 1001424-15License Type: DBP DentistBoard Certified: NEmail:Fax: (414) 327-9830Accepts New Patients: YHospital Affiliation: N/A*

SOCIAS, Laura M.Laura M Socias Dds(414) 545-5380Prov. No.: 00001209808610401 W Lincoln Ave Ste 204West Allis, WI 53227Language: EnglishGender: FemaleNPI: 1255634499License: 6635-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STELZNER, Randal G.Randa G Stelzner Dds(414) 476-9910Prov. No.: 00001263950810617 W Oklahoma Ave SteL3West Allis, WI 53227Language: EnglishGender: MaleNPI: 1841404464License: 2975License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


West Allis (Cont.)TRAN, Linh L.Dnt Associates Inc(414) 321-7700Prov. No.: 0000121659602572 S 76th St �West Allis, WI 53219Language: English, VietnameseGender: FemaleNPI: 1831578897License: 1001111-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (817) 335-3684Accepts New Patients: YHospital Affiliation: N/A*

TRAN, Linh L.Rlj Dental Sc(414) 327-4100Prov. No.: 00001257832310401 W Lincoln Ave Ste 1 �03West Allis, WI 53227Language: English, VietnameseGender: FemaleNPI: 1831578897License: 1001111-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-9830Accepts New Patients: YHospital Affiliation: N/A*

WONG, William G.Dr William G Wong &Associates Sc(414) 545-6747Prov. No.: 0000000799491947 S 60th St �West Allis, WI 53219Language: EnglishGender: MaleNPI: 1649434630License: 3343-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 545-2488Accepts New Patients: YHospital Affiliation: N/A*


West Allis (Cont.)ZHANG, HaiGreenfield Dental Corp(414) 329-1171Prov. No.: 0000002843462387 S 102nd StWest Allis, WI 53227Language: Chinese, English,SpanishGender: MaleNPI: 1669503488License: 5482License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 329-1018Accepts New Patients: YHospital Affiliation: N/A*

MONROE COUNTY

Cashton

BLOCKI, William G.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012557881238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1144363367License: 1001420License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

BROWN, Michael J.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012047078238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1396005237License: 6981-15License Type: DBP DentistBoard Certified: NEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

MONROE COUNTY (Cont.)

Cashton (Cont.)DOMEYER, AlanScenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012694090238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1770895567License: 6541-15License Type: DBP DentistBoard Certified: NEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

GRAF DOMEYER, JulieeScenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012019464238 Front St �Cashton, WI 54619Language: EnglishGender: FemaleNPI: 1649568296License: 6730-15License Type: DBP DentistBoard Certified: NEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

IREY, John P.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012131273238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1578660213License: 100103815License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*




Cashton (Cont.)JOHNSTON, Stephen A.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012787457238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1497884852License: 575215License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

KOXLIEN, AlishaScenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012452323238 Front St �Cashton, WI 54619Language: EnglishGender: FemaleNPI: 1750739082License: 1001302-15License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

MEARS, JohnScenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012693874238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1407285521License: 718115License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*


Cashton (Cont.)PARKER, Brent D.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012206697238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1376855098License: 6545-15License Type: DBP DentistBoard Certified: YEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

TOWNSEND, David B.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012694184238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1295833986License: 6165015License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

YAKOWICZ, Ryan J.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012771366238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1780992040License: 6606License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*


Tomah

HOUSTON, Clyde Philip P.Cylde Houston Dds Inc(608) 372-4455Prov. No.: 0000001335001220 Mark AveTomah, WI 54660Language: EnglishGender: MaleNPI: 1861453326License: 2815-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 372-6105Accepts New Patients: YHospital Affiliation: N/A*

HOUSTON, Jairus C.Cylde Houston Dds Inc(608) 372-4455Prov. No.: 0000121538461220 Mark AveTomah, WI 54660Language: EnglishGender: MaleNPI: 1013319912License: 1001002License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 372-6105Accepts New Patients: YHospital Affiliation: N/A*

OCONTO COUNTY

Lakewood

DETARI, Brian D.Northern Health Centers Inc(715) 276-6321Prov. No.: 00001257883015397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1619950573License: 100126615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*

OCONTO COUNTY (Cont.)

Lakewood (Cont.)EDINGER, Blake J.Northlakes Community Clinic(715) 276-6321Prov. No.: 00001259040515397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1750376968License: 3874-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*

HARGER, David J.Northlakes Community Clinic(715) 276-6321Prov. No.: 00001260790015397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1700261369License: 1001496-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*

IYONMAHAN, Karla A.The Lakes Community HealthCenter Inc(715) 276-6321Prov. No.: 00001281280315397 State Highway 32Lakewood, WI 54138Language: English, SpanishGender: FemaleNPI: 1457349649License: 1001009License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*




Lakewood (Cont.)JUNG, TedNorthlakes Community Clinic(715) 276-6321Prov. No.: 00000115757415397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1568467835License: 5781-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*

KENNY, Joseph W.Northlakes Community Clinic(715) 276-6321Prov. No.: 00001274125915397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1013930882License: 6181-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*

PETERSON, Gary J.The Lakes Community HealthCenter Inc(715) 276-6321Prov. No.: 00001263576915397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1538289467License: 2494-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*


Lakewood (Cont.)PETTY, John A.Northlakes Community Clinic(715) 276-6321Prov. No.: 00001279407715397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*

SPAIN, Daniel L.The Lakes Community HealthCenter Inc(715) 276-6321Prov. No.: 00001250916415397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1871799874License: 100126215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*

SUPITA, Joel A.Northlakes Community Clinic(715) 276-6321Prov. No.: 00000975502815397 State Highway 32Lakewood, WI 54138Language: EnglishGender: MaleNPI: 1922051895License: 2824-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 276-1428Accepts New Patients: YHospital Affiliation: N/A*


Oconto

DETARI, Brian D.Northern Health Centers Inc(920) 516-7107Prov. No.: 000012579042820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1619950573License: 100126615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DEWOLF III, John B.Northern Heath Centers Inc(920) 516-7107Prov. No.: 000008360667820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1033219290License: 2919-015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: (920) 835-2919Accepts New Patients: YHospital Affiliation: N/A*

EDINGER, Blake J.Northern Health Centers Inc(920) 516-7107Prov. No.: 000012590407820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1750376968License: 3874-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oconto (Cont.)HARGER, David J.The Lakes Community HealthCenter Inc(920) 516-7107Prov. No.: 000012640417820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1700261369License: 1001496-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

JUNG, TedNorthern Health Centers Inc(920) 516-7107Prov. No.: 000006962172820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1568467835License: 5781-15License Type: DBP DentistBoard Certified: NEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KENNY, Joseph W.Northern Health Centers Inc(920) 516-7107Prov. No.: 000012741297820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1013930882License: 6181-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Oconto (Cont.)KOCH, Adam D.Northern Health Centers Inc(920) 516-7107Prov. No.: 000012850507820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1710415542License: 1001522License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KUKARANS, Krista L.Krista Kukarans(920) 516-7107Prov. No.: 000012562837820 Arbutus AveOconto, WI 54153Language: EnglishGender: FemaleNPI: 1801087879License: 615715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: (920) 835-2919Accepts New Patients: YHospital Affiliation: N/A*

PETERSON, Gary J.The Lakes Communty HealthCenter(715) 634-2541Prov. No.: 000012677335820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1538289467License: 2494-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oconto (Cont.)PETTY, John A.Northern Health Centers Inc(920) 516-7107Prov. No.: 000012793860820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SPAIN, Daniel L.Northern Heath Centers Inc(920) 516-7107Prov. No.: 000012444523820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1871799874License: 100126215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: (920) 835-2919Accepts New Patients: YHospital Affiliation: N/A*

STEIDLEY, Kenneth E.Northern Health Centers Inc(920) 516-7107Prov. No.: 000012466341820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1609908599License: 1001249License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oconto (Cont.)SUPITA, Joel A.The Lakes Communty HealthCenter(715) 634-2541Prov. No.: 000009755029820 Arbutus AveOconto, WI 54153Language: EnglishGender: MaleNPI: 1922051895License: 2824-15License Type: DBP DentistBoard Certified: NEmail: [email protected] gFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WEENIG, Joshua A.Oconto Dental LlcProv. No.: 0000129396151210 Pecor StOconto, WI 54153Language: EnglishGender: MaleNPI: 1669807020License: 1001796-15License Type: DBP DentistBoard Certified: Not ReportedEmail: kelli@ocontodental .comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WILLIAMS, Melissa R.Northern Heath Centers Inc(920) 516-7107Prov. No.: 000012500127820 Arbutus AveOconto, WI 54153Language: EnglishGender: FemaleNPI: 1760735005License: 1001429License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] gFax: (920) 835-2919Accepts New Patients: YHospital Affiliation: N/A*

ONEIDA COUNTY

Rhinelander

GREMBAN, Daniel P.Rhinelander Dental Llc(715) 365-5900Prov. No.: 000012177470803 Lincoln StRhinelander, WI 54501Language: EnglishGender: MaleNPI: 1528229127License: 319515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 365-5903Accepts New Patients: NHospital Affiliation: N/A*

LINDNER, Andrew A.Rhinelander Dental Llc(715) 365-5900Prov. No.: 000000738795803 Lincoln StRhinelander, WI 54501Language: EnglishGender: MaleNPI: 1528386273License: 6518-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 365-5903Accepts New Patients: YHospital Affiliation: N/A*

WIGINGTON, NathanRhinelander Dental Llc(715) 365-5900Prov. No.: 000012913272803 Lincoln StRhinelander, WI 54501Language: EnglishGender: MaleNPI: 1124513361License: 1001870License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 365-5903Accepts New Patients: YHospital Affiliation: N/A*



OUTAGAMIE COUNTY

Appleton

ABBAS, KomailDental Associates Ltd(920) 730-0345Prov. No.: 0000132553024660 W College AveAppleton, WI 54913Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

ABBAS, KomailNorth Appleton Clinic(920) 734-2345Prov. No.: 0000132553032115 E Evergreen DrAppleton, WI 54913Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

ACHANTI, ShaliniMidwest Dental(920) 733-3339Prov. No.: 0000130165913111 E Calumet St Ste BAppleton, WI 54915Language: EnglishGender: FemaleNPI: 1619297199License: 6553-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 733-4006Accepts New Patients: YHospital Affiliation: N/A*

OUTAGAMIE COUNTY (Cont.)

Appleton (Cont.)AGNES, Alison A.Aspen Dental(920) 830-4100Prov. No.: 0000129068493300 W College Ave �Appleton, WI 54914Language: EnglishGender: FemaleNPI: 1881187862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

ARTS, Rachel L.Midwest Dental(920) 739-7165Prov. No.: 0000071948635553 W Waterford Ln �Appleton, WI 54913Language: EnglishGender: FemaleNPI: 1073825246License: 6558-156558License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 739-7361Accepts New Patients: YHospital Affiliation: N/A*

BALL, Amanda A.Aspen Dental(920) 830-4100Prov. No.: 0000127350673300 W College Ave �Appleton, WI 54914Language: EnglishGender: FemaleNPI: 1356691745License: 696815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)BAYE, William J.Baye Dentistry(920) 739-2500Prov. No.: 0000004674192500 N Bluemound Dr �Appleton, WI 54914Language: EnglishGender: MaleNPI: 1881752020License: 5975License Type: DBP DentistBoard Certified: Not ReportedEmail: bayedentistry@live .comFax: (920) 739-2505Accepts New Patients: YHospital Affiliation: N/A*

BINZAK, Daniel E.Quirt Family Dentistry Sc(920) 993-1111Prov. No.: 0000054835243813B E Calumet St �Appleton, WI 54915Language: EnglishGender: MaleNPI: 1104084490License: 3396-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 993-1112Accepts New Patients: YHospital Affiliation: N/A*

BROWN, NatalieNorth Appleton Clinic(920) 734-2345Prov. No.: 0000130368442115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1053896969License: 1001943License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)CHEN, XiaoqiDavid Blong Dds(920) 730-0345Prov. No.: 0000129502434660 W College AveAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1053801944License: 1001911License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DUBE, Nomuhle S.Smiles On Calumet(920) 993-1111Prov. No.: 0000126614683813B E Calumet StAppleton, WI 54915Language: EnglishGender: FemaleNPI: 1871887802License: 1001025-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

EMANUEL, David J.David Emanuel Dds Sc(920) 739-4246Prov. No.: 0000001477691033 W College AveAppleton, WI 54914Language: EnglishGender: MaleNPI: 1518919497License: 3588-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 739-4246Accepts New Patients: YHospital Affiliation: N/A*




Appleton (Cont.)FAUST, Michael J.Forward Dental(920) 954-8085Prov. No.: 0000007103583030 N Ballard RdAppleton, WI 54911Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*

GABRIELSEN, Eric J.Quirt Family Dentistry Sc(920) 993-1111Prov. No.: 0000130070993813B E Calumet St # BAppleton, WI 54915Language: EnglishGender: MaleNPI: 1982836813License: 644515License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(920) 954-8085Prov. No.: 0000120329373030 N Ballard RdAppleton, WI 54911Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)GONZALEZ, Cesar D.Forward Dental(920) 954-8085Prov. No.: 0000102147833030 N Ballard RdAppleton, WI 54911Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*

HAMMOND, Naa NorkorDental Associates Ltd(920) 730-0345Prov. No.: 0000126793794660 W College AveAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1003261462License: 1001635-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

HASSAN, Zubair U.Aspen Dental(920) 830-4100Prov. No.: 0000124567313300 W College Ave �Appleton, WI 54914Language: English, SpanishGender: MaleNPI: 1942651591License: 1001370-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)HERRSCHER, KathleenForward Dental(920) 954-8085Prov. No.: 0000006621353030 N Ballard RdAppleton, WI 54911Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*

HITZEMAN, Teresa M.Forward Dental(920) 954-8085Prov. No.: 0000003784963030 N Ballard RdAppleton, WI 54911Language: EnglishGender: FemaleNPI: 1659400075License: 4192-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*

HURLEY, Amanda L.North Appleton Clinic(920) 734-2345Prov. No.: 0000126364612115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1215466826License: 1001593-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)HUSSAIN, SadafNorth Appleton Clinic(920) 734-2345Prov. No.: 0000129271032115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1679095061License: 1001713-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

IYONMAHAN, Karla A.Smiles On Calumet(920) 993-1111Prov. No.: 0000126316243813B E Calumet StAppleton, WI 54915Language: English, SpanishGender: FemaleNPI: 1457349649License: 1001009License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KAPPELMAN, Matthew R.Appleton Family Dentistry(920) 731-2356Prov. No.: 0000004506002830 N Mason St �Appleton, WI 54914Language: EnglishGender: MaleNPI: 1952538977License: 6406-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 731-5354Accepts New Patients: YHospital Affiliation: N/A*




Appleton (Cont.)KENNEDY, Susan B.Dental Associates Ltd(920) 730-0345Prov. No.: 0000126300344660 W College AveAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1235669417License: 1001583-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

KRUEGER, NathanDental Associates Ltd(920) 730-0345Prov. No.: 0000126237134660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1912427642License: 1001603-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

MANOS, MarcRichard Kling Dds(920) 734-2345Prov. No.: 0000129395762115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1851772701License: 1001106License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)OSGOOD KOTLEWSKI, Kristin L.Richard Kling Dds(920) 734-2345Prov. No.: 0000129575302115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1316978026License: 490215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PAJEK, Jolanta M.Modern Touch Dentistry Sc(920) 993-8682Prov. No.: 0000002442891835 E Edgewood Dr Ste 106Appleton, WI 54913Language: EnglishGender: FemaleNPI: 1396722625License: 4715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 993-8134Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.David Blong Dds(920) 730-0345Prov. No.: 0000131765254660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)PAPE, Richard J.Richard Kling Dds(920) 734-2345Prov. No.: 0000131765302115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PFLUM, Edward M.E Mark Pflum Dds Sc(920) 733-8309Prov. No.: 000000218173342 W Wisconsin AveAppleton, WI 54911Language: EnglishGender: MaleNPI: 1063540870License: 3593-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

POHL, Jason J.Rlj Dental Sc(920) 731-1213Prov. No.: 0000002192633432 N Association Dr �Appleton, WI 54914Language: EnglishGender: MaleNPI: 1174628101License: 5714-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 731-1620Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)POPELKA, Paul F.Evergreen Dental(920) 734-0601Prov. No.: 0000002518822310 E Evergreen Dr Ste AAppleton, WI 54913Language: EnglishGender: MaleNPI: 1083756332License: 340015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 734-9159Accepts New Patients: YHospital Affiliation: N/A*

QUINLAN, Dennis P.Apple Town Dental Care(920) 734-2392Prov. No.: 000012530446536 N Richmond StAppleton, WI 54911Language: EnglishGender: MaleNPI: 1467536243License: 2385-015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

QUIRT, Timothy J.Smiles On Calumet(920) 993-1111Prov. No.: 0000071928403813B E Calumet StAppleton, WI 54915Language: EnglishGender: MaleNPI: 1326251091License: 5987-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*




Appleton (Cont.)RAKOWSKY, Nina A.North Appleton Clinic(920) 734-2345Prov. No.: 0000129589072115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1962980102License: 1001905-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

RASMUSSEN, Andrew J.Rasmussen Family DentistrySc(920) 739-3887Prov. No.: 0000125861231225 E Northland AveAppleton, WI 54911Language: EnglishGender: MaleNPI: 1790040921License: 6884-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

REYES, Michael J.Aspen Dental(920) 830-4100Prov. No.: 0000120792623300 W College Ave �Appleton, WI 54914Language: EnglishGender: MaleNPI: 1538561907License: 100100715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)RICKARD, Paul V.Dental Associates Ltd(920) 730-0345Prov. No.: 0000127941104660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

SCHOUTEN, Joseph A.Joseph A Schouten Dds(920) 739-3887Prov. No.: 0000001277201225 E Northland AveAppleton, WI 54911Language: EnglishGender: MaleNPI: 1891796363License: 1547License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SEHRA, PamelaNorth Appleton Clinic(920) 734-2345Prov. No.: 0000126346322115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1922528157License: 1001627-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)SMART, DianneForward Dental(920) 954-8085Prov. No.: 0000002772283030 N Ballard RdAppleton, WI 54911Language: EnglishGender: FemaleNPI: 1821155060License: 5062-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*

SMITH, David R.Apple Town Dental Care(920) 734-2392Prov. No.: 000010405032536 N Richmond StAppleton, WI 54911Language: EnglishGender: MaleNPI: 1629303136License: 6071-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 734-7895Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDavid Blong Dds(920) 730-0345Prov. No.: 0000128973734660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)STOJANOVIC, ChristinaNorth Appleton Clinic(920) 734-2345Prov. No.: 0000126084782115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1871022236License: 1001605-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

WARD, James T.Dental Associates Ltd(920) 730-0345Prov. No.: 0000129191724660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

WEBER, Steven L.Steven L Weber Dds(920) 739-1055Prov. No.: 000000159864811 N Lynndale DrAppleton, WI 54914Language: EnglishGender: MaleNPI: 1811090947License: 356115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Appleton (Cont.)YANG, Kwon C.North Appleton Clinic(920) 734-2345Prov. No.: 0000129005752115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1801387501License: 1001872License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

YUNK, Darrell M.Appleton Family Dentistry(920) 731-2356Prov. No.: 0000002268602830 N Mason St �Appleton, WI 54914Language: EnglishGender: MaleNPI: 1841358082License: 5152-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 731-5354Accepts New Patients: YHospital Affiliation: N/A*

Freedom

HEIL, RobertDental Expressions Sc(920) 788-6280Prov. No.: 000001141732N3946 Columbia AveFreedom, WI 54130Language: EnglishGender: MaleNPI: 1528071990License: 5139-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 788-8043Accepts New Patients: YHospital Affiliation: N/A*


Greenville

ABBAS, KomailDental Associates Ltd(920) 757-0100Prov. No.: 000013255304N1737 Lily of the ValleyDrGreenville, WI 54942Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

ALSHEHABI, HassanDental Associates Ltd(920) 757-0100Prov. No.: 000012895049N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1063906188License: 1001880License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

ARIZA, RichardDental Associates Ltd(920) 757-0100Prov. No.: 000012989036N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1902309685License: 1001944-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*


Greenville (Cont.)CHILDS, Eric T.Dental Associates Ltd(920) 757-0100Prov. No.: 000012091652N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1538364534License: 721715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

DESAI, SajanDental Associates Ltd(920) 757-0100Prov. No.: 000012954022N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1447743455License: 1001920License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

FORCIOLI, Laurent J.Dental Associates Ltd(920) 757-0100Prov. No.: 000012847488N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1083146823License: 1001545-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*


Greenville (Cont.)MANSOUR, Mohammed A.Dental Associates Ltd(920) 757-0100Prov. No.: 000012604907N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

MIYAMOTO, Courtney R.Dental Associates Ltd(920) 757-0100Prov. No.: 000013068487N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: FemaleNPI: 1891271987License: 1001957License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

MURRAR, InasDental Associates Ltd(920) 757-0100Prov. No.: 000012588995N1737 Lily of the ValleyDrGreenville, WI 54942Language: Arabic, EnglishGender: FemaleNPI: 1699192252License: 7240-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*




Greenville (Cont.)PAFFENROTH, Trenton J.Trenton Paffenroth(920) 954-1110Prov. No.: 000012580687N1734 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1619386208License: 1000982License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 954-7478Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.Dental Associates Ltd(920) 757-0100Prov. No.: 000013176537N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Carlos M.Dental Associates Ltd(920) 757-0100Prov. No.: 000012958927N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1932602182License: 1001937License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*


Greenville (Cont.)YANG, Kwon C.Dental Associates Ltd(920) 757-0100Prov. No.: 000012944019N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1801387501License: 1001872License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

Hortonville

LANG, Jeffrey R.Rlj Dental Sc(920) 779-4982Prov. No.: 000000284156105 Kelly Way �Hortonville, WI 54944Language: EnglishGender: MaleNPI: 1467533224License: 5069-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PETTY, John A.Rlj Dental Sc(920) 779-4982Prov. No.: 000013109936105 Kelly Way �Hortonville, WI 54944Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Hortonville (Cont.)WEINANDT, Anthony E.Rlj Dental Sc(920) 779-4982Prov. No.: 000012846741105 Kelly Way �Hortonville, WI 54944Language: EnglishGender: MaleNPI: 1740716836License: 1001567-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Seymour

ZAK, Daniel K.Daniel K Zak Dds(920) 833-6593Prov. No.: 000000354460308 S Main StSeymour, WI 54165Language: EnglishGender: MaleNPI: 1194800532License: 5001633License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

OZAUKEE COUNTY

Belgium

SCHUELKE, AndrewEast Town Dental(262) 285-3408Prov. No.: 000012612657171 Main St Ste 200Belgium, WI 53004Language: EnglishGender: MaleNPI: 1992244479License: 1001299-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 285-4025Accepts New Patients: YHospital Affiliation: N/A*

OZAUKEE COUNTY (Cont.)

Belgium (Cont.)WORZALLA, Sharon P.Belgium Family Dental(262) 285-3408Prov. No.: 000012609949171 Main St Ste 200Belgium, WI 53004Language: EnglishGender: FemaleNPI: 1235525221License: 1001233License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Cedarburg

BATH, Kristina M.Today’s Dentistry(262) 375-1800Prov. No.: 000012442581W68N101 Evergreen Blvd �Cedarburg, WI 53012Language: EnglishGender: FemaleNPI: 1093129165License: 726115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-1818Accepts New Patients: YHospital Affiliation: N/A*

BRAUN, JustinCedarburg Family Dentistry(262) 377-9490Prov. No.: 000000318371W64N728 Washington Ave �Cedarburg, WI 53012Language: EnglishGender: MaleNPI: 1386719110License: 5652-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 377-0850Accepts New Patients: YHospital Affiliation: N/A*




Cedarburg (Cont.)BURANT, Anthony M.Anthony M Burant Dds(262) 377-5900Prov. No.: 0000007118685009 Columbia Rd �Cedarburg, WI 53012Language: EnglishGender: MaleNPI: 1255479036License: 3310License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 377-5901Accepts New Patients: YHospital Affiliation: N/A*

COVELLI, William A.Today’s Dentistry(262) 375-1800Prov. No.: 000012333071W68N101 Evergreen Blvd �Cedarburg, WI 53012Language: EnglishGender: MaleNPI: 1669509972License: 500073815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-1818Accepts New Patients: YHospital Affiliation: N/A*

DEMORROW, Danielle M.Today’s Dentistry(262) 375-1800Prov. No.: 000012875973W68N101 Evergreen Blvd �Cedarburg, WI 53012Language: EnglishGender: FemaleNPI: 1437688132License: 1001578License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-1818Accepts New Patients: YHospital Affiliation: N/A*


Cedarburg (Cont.)HANSEN, Michael J.Michael J Hansen Dds(262) 377-5130Prov. No.: 000000336610N57W6296 Center StCedarburg, WI 53012Language: EnglishGender: MaleNPI: 1134298433License: 13490License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 377-5427Accepts New Patients: YHospital Affiliation: N/A*

LANGEWISCH, Matthew H.Little Sprouts Dental Llc(414) 377-2847Prov. No.: 000005059960W65N640 Saint John Ave �Cedarburg, WI 53012Language: EnglishGender: MaleNPI: 1427114453License: 5824-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STEVENS, Jennifer L.Jennifer L Stevens Dds Llc(262) 377-5800Prov. No.: 000012165657N52W6295 Mill St �Cedarburg, WI 53012Language: EnglishGender: FemaleNPI: 1134389828License: 627415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Grafton

BHIMIREDDY, SilpaSweet Smiles Family DentistryLlc(262) 377-0807Prov. No.: 0000129003201300 Bridge StGrafton, WI 53024Language: EnglishGender: FemaleNPI: 1508317124License: 1001235-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 377-9978Accepts New Patients: YHospital Affiliation: N/A*

GOLLA, SwathiSweet Smiles Family DentistryLlc(262) 377-0807Prov. No.: 0000126794671300 Bridge StGrafton, WI 53024Language: EnglishGender: FemaleNPI: 1457876195License: 1001660-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 377-9978Accepts New Patients: YHospital Affiliation: N/A*

KASAM, Mohana Murali KrishnaSweet Smiles Family DentistryLlc(262) 377-0807Prov. No.: 0000129250221300 Bridge StGrafton, WI 53024Language: EnglishGender: FemaleNPI: 1669959995License: 1001891License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 377-9978Accepts New Patients: YHospital Affiliation: N/A*


Grafton (Cont.)KWIATKOWSKI, Kurt R.Kurt R Kwiatkowski Dds Sc(262) 377-0852Prov. No.: 0000001359751200 17th Ave �Grafton, WI 53024Language: EnglishGender: MaleNPI: 1972529519License: 479015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-2534Accepts New Patients: YHospital Affiliation: N/A*

MAJOR, Pako M.Dental Care of Grafton(262) 618-4204Prov. No.: 0000125824901580 Port Washington RdGrafton, WI 53024Language: EnglishGender: MaleNPI: 1003116278License: 6616-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PATCH, Kyle D.Dental Care of Grafton(262) 618-4204Prov. No.: 0000129268441580 Port Washington RdGrafton, WI 53024Language: EnglishGender: MaleNPI: 1730669573License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Grafton (Cont.)PATEL, ReemaSweet Smiles Family DentistryLlc(262) 377-0807Prov. No.: 0000128903741300 Bridge StGrafton, WI 53024Language: EnglishGender: FemaleNPI: 1033601695License: 1001825License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 377-9978Accepts New Patients: YHospital Affiliation: N/A*

PATEL, Reena V.Dental Care of Grafton(262) 618-4204Prov. No.: 0000129845261580 Port Washington RdGrafton, WI 53024Language: EnglishGender: FemaleNPI: 1750813614License: 1001558-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PULAPAKA, SirishaSweet Smiles Family DentistryLlc(262) 377-0807Prov. No.: 0000125385341300 Bridge StGrafton, WI 53024Language: EnglishGender: FemaleNPI: 1023364510License: 696915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 377-9978Accepts New Patients: YHospital Affiliation: N/A*


Grafton (Cont.)SHARMA, Jagan N.Sweet Smiles Family DentistryLlc(262) 377-0807Prov. No.: 0000124441311300 Bridge StGrafton, WI 53024Language: English, HindiGender: MaleNPI: 1275915902License: 100112915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 377-9978Accepts New Patients: YHospital Affiliation: N/A*

SORIN, IgorKurt R Kwiatkowski Dds Sc(262) 377-0852Prov. No.: 0000129250681200 17th Ave �Grafton, WI 53024Language: EnglishGender: MaleNPI: 1104346212License: 1001614License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-2534Accepts New Patients: YHospital Affiliation: N/A*

WINTER, Scott W.Scott W Winter Dds(262) 377-0780Prov. No.: 0000000935711308 12th AveGrafton, WI 53024Language: EnglishGender: MaleNPI: 1982758256License: 3657License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Grafton (Cont.)YU, BoydSweet Smiles Family DentistryLlc(262) 377-0807Prov. No.: 0000125855511300 Bridge StGrafton, WI 53024Language: EnglishGender: MaleNPI: 1508311945License: 1001478-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 377-9978Accepts New Patients: YHospital Affiliation: N/A*

Mequon

ANDERS, NeilForward Dental(414) 427-0900Prov. No.: 0000124237606048 W Mequon RdMequon, WI 53092Language: EnglishGender: MaleNPI: 1013137074License: 5001444-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

AZENABOR, Okwuchi N.Wisconsin Dental Group ScDba Forward Dental(414) 427-0900Prov. No.: 0000126299586048 W Mequon RdMequon, WI 53092Language: EnglishGender: FemaleNPI: 1699202945License: 1001517-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*


Mequon (Cont.)BROCK, Lynne A.Endodontic Specialists of WiSc(262) 241-8300Prov. No.: 00001260743310532 N Port Washington R �DMequon, WI 53092Language: EnglishGender: FemaleNPI: 1699784421License: 439115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-8302Accepts New Patients: YHospital Affiliation: N/A*

BRUNNER, David J.David J Brunner Dds(262) 240-1200Prov. No.: 00000026645810345 N Port Washington RD Ste 150Mequon, WI 53092Language: EnglishGender: MaleNPI: 1902893209License: 5000881License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KIAIE, ValiEast Towne Dental Associates(262) 241-8880Prov. No.: 00000009493611501 N Port Washington RD Ste 102Mequon, WI 53092Language: EnglishGender: MaleNPI: 1083826895License: 350415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-5250Accepts New Patients: NHospital Affiliation: N/A*




Mequon (Cont.)NIEDZIELA, Jeffrey S.Forward Dental(414) 427-0900Prov. No.: 0000121887246048 W Mequon RdMequon, WI 53092Language: EnglishGender: MaleNPI: 1164436614License: 6008-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

RAMOS, MariaForward Dental(414) 427-0900Prov. No.: 0000121739226048 W Mequon RdMequon, WI 53092Language: EnglishGender: FemaleNPI: 1205908480License: 3695-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

ROUMANI, WaelForward Dental(414) 427-0900Prov. No.: 0000121739236048 W Mequon RdMequon, WI 53092Language: EnglishGender: MaleNPI: 1841503455License: 6822-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*


Mequon (Cont.)SCHUELKE, AndrewEast Town Dental(262) 241-8880Prov. No.: 00001261265611501 N Port Washington R �D Ste 102Mequon, WI 53092Language: EnglishGender: MaleNPI: 1992244479License: 1001299-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-5250Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Craig L.North Shore Dental Llc(262) 242-1180Prov. No.: 0000122533351345 W Towne Square RdMequon, WI 53092Language: EnglishGender: MaleNPI: 1316947690License: 5426-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 236-9079Accepts New Patients: YHospital Affiliation: N/A*

SOBCZAK, RobertMequon Dental Group Llc(262) 241-4460Prov. No.: 00000025506510555 N Port Washington R �DMequon, WI 53092Language: EnglishGender: MaleNPI: 1447395280License: 500188515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-4486Accepts New Patients: NHospital Affiliation: N/A*


Mequon (Cont.)VOGEL, Rachael A.Mequon Dental Group Llc(262) 241-4460Prov. No.: 00000036854010555 N Port Washington R �DMequon, WI 53092Language: EnglishGender: FemaleNPI: 1285781278License: 589315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-4486Accepts New Patients: NHospital Affiliation: N/A*

WERWIE, John M.Wisconsin Dental Group ScDba Forward Dental(414) 427-0900Prov. No.: 0000121739246048 W Mequon RdMequon, WI 53092Language: EnglishGender: MaleNPI: 1376578328License: 5001848-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

WORZALLA, Sharon P.East Towne Dental(262) 241-8880Prov. No.: 00001261147511501 N Port Washington R �D Ste 102Mequon, WI 53092Language: EnglishGender: FemaleNPI: 1235525221License: 1001233License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-5250Accepts New Patients: YHospital Affiliation: N/A*


Port Washington

HANSEN, KatieHometown Dental Clinic Inc(262) 284-5231Prov. No.: 0000128725322580 State Road 32Port Washington, WI 53074Language: EnglishGender: FemaleNPI: 1891041158License: 6922-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

HANSEN, MichaelHometown Dental Clinic Inc(262) 284-5231Prov. No.: 0000128745322580 State Road 32Port Washington, WI 53074Language: EnglishGender: MaleNPI: 1356511059License: 5750-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

LYSAK, AdamAdam Lysak(414) 284-9011Prov. No.: 000012902658457 W Grand Ave �Port Washington, WI 53074Language: EnglishGender: MaleNPI: 1629569553License: 1001829License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Port Washington (Cont.)PEREZ, Celestino F.Port Dental(262) 284-9767Prov. No.: 0000001655561000 N Wisconsin St �Port Washington, WI 53074Language: EnglishGender: MaleNPI: 1306950902License: 4635License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PEPIN COUNTY

Durand

AGARWAL, ChetanMidwest Dental - Durand(715) 672-5261Prov. No.: 000013078128620 7th Ave WDurand, WI 54736Language: EnglishGender: MaleNPI: 1457827859License: 1001958License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 672-4918Accepts New Patients: YHospital Affiliation: N/A*

BERGAN, Brian R.Midwest Dental - Durand(715) 672-5261Prov. No.: 000012540636620 7th Ave WDurand, WI 54736Language: EnglishGender: MaleNPI: 1528082716License: 5009License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 672-4918Accepts New Patients: YHospital Affiliation: N/A*

PEPIN COUNTY (Cont.)

Durand (Cont.)NIXON, Dale T.Midwest Dental - Durand(715) 672-5261Prov. No.: 000012734864620 7th Ave WDurand, WI 54736Language: EnglishGender: MaleNPI: 1538224522License: 382915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 672-4918Accepts New Patients: YHospital Affiliation: N/A*

PIERCE, Lewis H.Midwest Dental - Durand(715) 672-5261Prov. No.: 000012604448620 7th Ave WDurand, WI 54736Language: EnglishGender: MaleNPI: 1902170145License: 100106015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 672-4918Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Midwest Dental - Durand(715) 672-5261Prov. No.: 000012642249620 7th Ave WDurand, WI 54736Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 672-4918Accepts New Patients: YHospital Affiliation: N/A*

PEPIN COUNTY (Cont.)

Pepin

JOHNSON, Steven H.Steven Johnson Dds(715) 442-2211Prov. No.: 000012329045715 3rd StPepin, WI 54759Language: EnglishGender: MaleNPI: 1063451359License: 2708License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PIERCE COUNTY

Prescott

FEUILLERAT, JayFeuillerat Dds ScProv. No.: 0000130655921435 N Acres Rd Ste 102Prescott, WI 54021Language: EnglishGender: MaleNPI: 1376063818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GATZKE, Gerald O.Gerald O Gatzke Dds(715) 262-5113Prov. No.: 000000210426127 Broad St NPrescott, WI 54021Language: EnglishGender: MaleNPI: 1922104801License: 5001698-015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 262-3372Accepts New Patients: YHospital Affiliation: N/A*

PIERCE COUNTY (Cont.)

River Falls

KRISTO, Steven J.Kristo Ltd(715) 835-5182Prov. No.: 0000128303461561 Commerce Ct Ste 200River Falls, WI 54022Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PAGE, David A.River Falls Family Dentistry L(715) 425-5780Prov. No.: 000000135370107 E Locust StRiver Falls, WI 54022Language: EnglishGender: MaleNPI: 1225124290License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PAGE, MichaelRiver Falls Family Dentistry L(715) 425-5780Prov. No.: 000012748184107 E Locust StRiver Falls, WI 54022Language: EnglishGender: MaleNPI: 1710275581License: 6678License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



POLK COUNTY

Amery

KRISTO, Steven J.Kristo Ltd(715) 268-8109Prov. No.: 000012166043404 Wisconsin AveAmery, WI 54001Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Osceola

CHANTELOIS, Casey A.Hauge Dental Care Ltd(715) 294-2202Prov. No.: 000012543967108 Chieftain StOsceola, WI 54020Language: EnglishGender: MaleNPI: 1871932236License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DITTBERNER, Jordan G.Hauge Dental Care Ltd(715) 294-2202Prov. No.: 000012965676108 Chieftain StOsceola, WI 54020Language: EnglishGender: MaleNPI: 1174011597License: 1001789License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

POLK COUNTY (Cont.)

Osceola (Cont.)HAUGE, Thomas P.Hauge Dental Care Ltd(715) 294-2202Prov. No.: 000000661471108 Chieftain StOsceola, WI 54020Language: EnglishGender: MaleNPI: 1710027180License: 4810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PORTAGE COUNTY

Plover

ABDELRAHIM, Adham F.Aspen Dental(715) 341-4700Prov. No.: 0000125305261290 Commerce PlPlover, WI 54467Language: EnglishGender: MaleNPI: 1962801738License: 1000992License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

BAILEY, Tamara L.Quirt Family Dentistry -Plover(715) 544-6100Prov. No.: 0000121071871819 Park Ave �Plover, WI 54467Language: EnglishGender: FemaleNPI: 1073536579License: 5785-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 544-6104Accepts New Patients: NHospital Affiliation: N/A*

PORTAGE COUNTY (Cont.)

Plover (Cont.)BEHNKE, Joshua J.Midwest Dental Evansville(715) 341-5220Prov. No.: 0000124224792950 Bea Jay LnPlover, WI 54467Language: EnglishGender: MaleNPI: 1013396803License: 100123015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 341-0948Accepts New Patients: YHospital Affiliation: N/A*

CHARGING, MalloryMidwest Dental Evansville(715) 341-5220Prov. No.: 0000121583482950 Bea Jay LnPlover, WI 54467Language: EnglishGender: FemaleNPI: 1215316765License: 1001102License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 341-0948Accepts New Patients: YHospital Affiliation: N/A*

CHING, Leesa K.Quirt Family Dentistry -Plover(715) 544-6100Prov. No.: 0000126459581819 Park Ave �Plover, WI 54467Language: EnglishGender: FemaleNPI: 1851750293License: 1001675-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 544-6104Accepts New Patients: NHospital Affiliation: N/A*


Plover (Cont.)COX, Samantha T.Aspen Dental(715) 341-4700Prov. No.: 0000121250631290 Commerce PlPlover, WI 54467Language: EnglishGender: FemaleNPI: 1689994824License: 6562-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

FERRARO, Joseph C.Quirt Family Dentistry -Plover(715) 544-6100Prov. No.: 0000035895301819 Park Ave �Plover, WI 54467Language: EnglishGender: MaleNPI: 1477583870License: 3312-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 544-6104Accepts New Patients: NHospital Affiliation: N/A*

GOLLON, RogerRoger Gollon(715) 341-7665Prov. No.: 0000001847421570 American DrPlover, WI 54467Language: EnglishGender: MaleNPI: 1720186281License: 4175-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Plover (Cont.)GRABIEC, Edward J.Midwest Dental(715) 341-5220Prov. No.: 0000002719862950 Bea Jay LnPlover, WI 54467Language: EnglishGender: MaleNPI: 1598983389License: 590415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOFFMANN, Edward W.Aspen Dental(715) 341-4700Prov. No.: 0000126201941290 Commerce PlPlover, WI 54467Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

JUDGE, Arwinder S.Aspen Dental(715) 341-4700Prov. No.: 0000129894381290 Commerce PlPlover, WI 54467Language: EnglishGender: FemaleNPI: 1952522278License: 6326License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Plover (Cont.)MIKLESH, Robert M.Midwest Dental(715) 341-5220Prov. No.: 0000001920592950 Bea Jay LnPlover, WI 54467Language: EnglishGender: MaleNPI: 1073654992License: 4814-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

REYES, Michael J.Aspen Dental(715) 341-4700Prov. No.: 0000120868401290 Commerce PlPlover, WI 54467Language: EnglishGender: MaleNPI: 1538561907License: 100100715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

TESKE, AlisonAspen Dental(715) 341-4700Prov. No.: 0000121215691290 Commerce PlPlover, WI 54467Language: EnglishGender: FemaleNPI: 1922261734License: 006246License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Rosholt

MESSNER, Rodney A.Rosholt Area Dental Clinic(715) 677-3202Prov. No.: 000012457053247 Depot StRosholt, WI 54473Language: EnglishGender: MaleNPI: 1043399538License: 5971-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 677-3292Accepts New Patients: YHospital Affiliation: N/A*

NASEA, Olga S.Rosholt Area Dental Clinic(715) 677-3202Prov. No.: 000012226245247 Depot StRosholt, WI 54473Language: English, RomanianGender: FemaleNPI: 1043547664License: 7167-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 677-3292Accepts New Patients: YHospital Affiliation: N/A*

PREHN, Frederick C.Rosholt Area Dental Clinic(715) 677-3202Prov. No.: 000013110647247 Depot StRosholt, WI 54473Language: EnglishGender: MaleNPI: 1972801934License: 2930License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 677-3292Accepts New Patients: YHospital Affiliation: N/A*


Stevens Point

FOLCHERT, Joshua J.Midwest Dental(715) 341-1644Prov. No.: 0000126167092201 Division St Ste BStevens Point, WI 54481Language: EnglishGender: MaleNPI: 1881122091License: 1001534-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 341-1681Accepts New Patients: YHospital Affiliation: N/A*

HENDRICKS, Gary J.Gary Hendricks(715) 344-7866Prov. No.: 0000002375371085 Wilshire BlvdStevens Point, WI 54481Language: EnglishGender: MaleNPI: 1669549606License: 5140License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HUNTER, Craig J.Midwest Dental(715) 341-1644Prov. No.: 0000120174182201 Division St Ste BStevens Point, WI 54481Language: EnglishGender: MaleNPI: 1740390814License: 2752-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 341-1681Accepts New Patients: YHospital Affiliation: N/A*




Stevens Point (Cont.)MUELLER, NicholasStevens Point Dental Center(715) 997-9802Prov. No.: 0000124928733504 E Maria DrStevens Point, WI 54481Language: EnglishGender: MaleNPI: 1093161531License: 1001289License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 997-9806Accepts New Patients: YHospital Affiliation: N/A*

NIXON, Dale T.Midwest Dental(715) 341-1644Prov. No.: 0000124531932201 Division St Ste BStevens Point, WI 54481Language: EnglishGender: MaleNPI: 1538224522License: 382915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 341-1681Accepts New Patients: YHospital Affiliation: N/A*

SCHMIDT, Michael C.Stevens Point Dental Center(715) 997-9802Prov. No.: 0000123108633504 E Maria DrStevens Point, WI 54481Language: EnglishGender: MaleNPI: 1457446452License: 5001225License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 997-9806Accepts New Patients: YHospital Affiliation: N/A*

RACINE COUNTY

Burlington

HARUNANI, Mohamed F.Midwest Dental(262) 763-3012Prov. No.: 000012644882190 Gardner Ave Ste 4Burlington, WI 53105Language: EnglishGender: MaleNPI: 1720205560License: 581615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 763-3074Accepts New Patients: YHospital Affiliation: N/A*

KANG, Tae H.Midwest Dental(262) 763-3012Prov. No.: 000012925113190 Gardner Ave Ste 4Burlington, WI 53105Language: Chinese, English,Korean, SpanishGender: MaleNPI: 1255711693License: 100143415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 763-3074Accepts New Patients: YHospital Affiliation: N/A*

MESEC, J CharlesBurlington Family(262) 763-2141Prov. No.: 000000136242240 N Main St �Burlington, WI 53105Language: EnglishGender: MaleNPI: 1710911904License: 312015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 767-2679Accepts New Patients: YHospital Affiliation: N/A*

RACINE COUNTY (Cont.)

Burlington (Cont.)RICKARD, Paul V.Midwest Dental(262) 763-3012Prov. No.: 000012687136190 Gardner Ave Ste 4Burlington, WI 53105Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 763-3074Accepts New Patients: YHospital Affiliation: N/A*

SERFLEK, Joseph C.Midwest Dental(262) 763-3012Prov. No.: 000012867882190 Gardner Ave Ste 4Burlington, WI 53105Language: EnglishGender: MaleNPI: 1881764983License: 5001492License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 763-3074Accepts New Patients: YHospital Affiliation: N/A*

Franksville

ESERKALN, Catherine A.Catherine Eserkaln(262) 886-9830Prov. No.: 00001302465910502 Northwestern AveFranksville, WI 53126Language: EnglishGender: FemaleNPI: 1598170607License: 1001008License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Franksville (Cont.)GABRHEL, David C.Dr David C Gabrhel(262) 886-9830Prov. No.: 00000007629710502 Northwestern Ave �Franksville, WI 53126Language: EnglishGender: MaleNPI: 1245367531License: 5001802-15License Type: DBP DentistBoard Certified: NEmail: [email protected] mFax: (262) 886-9845Accepts New Patients: YHospital Affiliation: N/A*

Mount Pleasant

ADAMCZYK, Raymond J.Idental Llc(262) 223-0280Prov. No.: 0000126000541320 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1689733800License: 1001228-15License Type: DBP DentistBoard Certified: Not ReportedEmail: idental1320@gmail. comFax: (262) 223-0281Accepts New Patients: YHospital Affiliation: N/A*

ANTONOFF, Kenneth E.Idental(262) 223-0280Prov. No.: 0000130976601320 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1205842721License: 6823License Type: DBP DentistBoard Certified: NEmail: idental1320@gmail. comFax: (262) 223-0281Accepts New Patients: YHospital Affiliation: N/A*




Mount Pleasant (Cont.)AUGEND, ArsalanFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000122256625201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1053778803License: 1001259License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

AZAB, Sameh E.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000083604871101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1730479361License: 670615License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*

AZAD, Koushan H.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000121790515201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1154533180License: 1001044License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)AZIZ, ZainabIdental Llc(262) 223-0280Prov. No.: 0000126125871320 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1003162249License: 1001541-15License Type: DBP DentistBoard Certified: Not ReportedEmail: idental1320@gmail. comFax: (262) 223-0281Accepts New Patients: YHospital Affiliation: N/A*

BERGHUIS, Ashley F.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000126311381101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1932595717License: 1001084-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*

BHATTAL, Gaganpreet K.Aspen Dental(262) 886-9700Prov. No.: 0000126342272860 S Green Bay Rd Ste 104Mount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1619499167License: 1001651License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)BHIMJI, Sanaa N.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000124951725201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1083165351License: 100144015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BIMARTHI, SavitaFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000124444795201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1588017925License: 1001397-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BITTAR, EyadD2 Dental of Wisconsin Sc(414) 455-8805Prov. No.: 0000132010726012 Washington Ave Ste AMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1164915799License: 1001850License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)CHAHIL, JasjotFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000127827455201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1063910164License: 1001743License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

CHANANA, SumitSweet Smiles Family DentistryLlc(262) 672-2393Prov. No.: 0000130693301515 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1396090734License: 6964License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 672-6737Accepts New Patients: YHospital Affiliation: N/A*

CHAUHAN, ShalabhFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000125294775201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1497290043License: 1001466-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Mount Pleasant (Cont.)CHRISTOPHERSON, Abbey L.Aspen Dental(262) 886-9700Prov. No.: 0000128981782860 S Green Bay Rd Ste 104Mount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1083106553License: 1001840License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

CRUTHERS, Aaron E.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000002145461101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1710016209License: 5710-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*

ELCANO, Paul M.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000001671861101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1386779791License: 564315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)EMERY, Allison L.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000002437251101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1528193935License: 579415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(262) 886-1300Prov. No.: 0000007103666218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 886-1837Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(262) 886-1300Prov. No.: 0000120329466218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 886-1837Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)GONZALEZ, Cesar D.Forward Dental(262) 886-1300Prov. No.: 0000104018526218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 886-1837Accepts New Patients: YHospital Affiliation: N/A*

HASSAN, Zubair U.Aspen Dental(262) 886-9700Prov. No.: 0000125829922860 S Green Bay Rd Ste 104Mount Pleasant, WI 53406Language: English, SpanishGender: MaleNPI: 1942651591License: 1001370-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

HERRSCHER, KathleenForward Dental(262) 886-1300Prov. No.: 0000006615106218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 886-1837Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)HOLMES, Peter N.Aspen Dental(262) 886-9700Prov. No.: 0000129250502860 S Green Bay Rd Ste 104Mount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1629560248License: 1001878License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

JAYAPRAKASH, PoornimaWisconsin Dental Group ScDba Forward Dental(262) 886-1300Prov. No.: 0000002436136218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1417014572License: 4048-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 886-1837Accepts New Patients: YHospital Affiliation: N/A*

JOHNSON, LeahRacine Dental Group Sc(262) 637-9370Prov. No.: 0000124469841101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1861841470License: 1001341-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*




Mount Pleasant (Cont.)JUNG, EdmundForward Dental(262) 886-1300Prov. No.: 0000000760446218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1053478115License: 1687-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 886-1837Accepts New Patients: YHospital Affiliation: N/A*

KANG, Tae H.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000124951685201 Washington AveMount Pleasant, WI 53406Language: Chinese, English,Korean, SpanishGender: MaleNPI: 1255711693License: 100143415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KASAM, Mohana Murali KrishnaSweet Smiles Family DentistryLlc(262) 672-2393Prov. No.: 0000129168741515 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1669959995License: 1001891License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 672-6737Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)KAUR, SimerjeetFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000121973245201 Washington AveMount Pleasant, WI 53406Language: English, Hindi,PunjabiGender: FemaleNPI: 1629448170License: 1001211License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KENFIELD, Mark R.Racine Dental Group(262) 637-9371Prov. No.: 0000001043381101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1649309121License: 5002077-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 619-7727Accepts New Patients: YHospital Affiliation: N/A*

KHAN, Mujtaba B.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000125022795201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1093260366License: 1001454License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)KIM, Daniel Y.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000126146335201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1225571656License: 1001602-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KIM, MinjungD2 Dental of Wisconsin Sc(414) 455-8805Prov. No.: 0000131898856012 Washington Ave Ste AMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1659444099License: 1002004License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*

KISS, MihaiFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000125618695201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1700334265License: 1001480License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)KNOPP, Bruno A.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000130276645201 Washington AveMount Pleasant, WI 53406Language: English, Polish,Romanian, UkranianGender: MaleNPI: 1558344325License: 7164License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

LENZ, JosephMidwest Dental(262) 598-8750Prov. No.: 0000124925133528 Meachem RdMount Pleasant, WI 53405Language: EnglishGender: MaleNPI: 1588074603License: 100104515License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LIN, KevinFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000125067255201 Washington AveMount Pleasant, WI 53406Language: English, Farsi,SpanishGender: MaleNPI: 1639626955License: 100144115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Mount Pleasant (Cont.)LIN, ShawnFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000125023155201 Washington AveMount Pleasant, WI 53406Language: Chinese, English,MandarinGender: MaleNPI: 1003360272License: 1001444License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MAHMOOD, Ola R.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000124354555201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1437501301License: 1001386License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MALHOTRA, AnupamFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000124622935201 Washington AveMount Pleasant, WI 53406Language: English, HindiGender: FemaleNPI: 1780036376License: 1001393License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)MATA, Felicia S.Idental Llc(262) 223-0280Prov. No.: 0000127954851320 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1528211489License: 5657License Type: DBP DentistBoard Certified: Not ReportedEmail: idental1320@gmail. comFax: (262) 223-0281Accepts New Patients: YHospital Affiliation: N/A*

MAZUCHOWSKI, Raymond J.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000125137845201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1255875944License: 1001463-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MIYAMASU, PatrickFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000121790505201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1992933915License: 100113License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)MOLAVI, SasanMynt Dental Racine Llc(262) 999-9998Prov. No.: 0000128828546100 Washington AveMount Pleasant, WI 53406Language: English, Farsi,SpanishGender: MaleNPI: 1467680504License: 1001793License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MORTON, Linnea E.Aspen Dental(262) 886-9700Prov. No.: 0000122145962860 S Green Bay Rd Ste 104Mount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1821439308License: 7128-15License Type: DBP DentistBoard Certified: NEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

MUDDANA, PraveenaSweet Smiles Family DentistryLlc(262) 672-2393Prov. No.: 0000129003071515 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1376806893License: 6931-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 672-6737Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)MUNRO, Scott D.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000001043491101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1326173709License: 4667015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*

NASTASE, DorinaFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000121711895201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1154707388License: 1001194License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

NELSON, Cody J.Racine Dental Group(262) 637-9371Prov. No.: 0000131526861101 S Airline RdMount Pleasant, WI 53406Language: English, KoreanGender: MaleNPI: 1376773788License: 6986-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 619-7727Accepts New Patients: YHospital Affiliation: N/A*




Mount Pleasant (Cont.)NELSON, David E.Idental Llc(262) 223-0280Prov. No.: 0000130873361320 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1003912916License: 251115License Type: DBP DentistBoard Certified: Not ReportedEmail: idental1320@gmail. comFax: (262) 223-0281Accepts New Patients: YHospital Affiliation: N/A*

OKSIUTA, Jay M.Racine Dental Group(262) 637-9371Prov. No.: 0000003758861101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1841325230License: 576115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 619-7727Accepts New Patients: YHospital Affiliation: N/A*

OMAR, HamzaD2 Dental of Wisconsin Sc(414) 455-8805Prov. No.: 0000130029676012 Washington Ave Ste AMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1184095028License: 1001185-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)PALMER, Debra S.Creating Beautiful Smiles Sc(262) 554-9055Prov. No.: 0000001143914425 Taylor Ave Ste 3 �Mount Pleasant, WI 53405Language: EnglishGender: FemaleNPI: 1730280934License: 009777License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PALMER, Richard E.Richard Palmer(262) 554-9055Prov. No.: 0000127841484425 Taylor Ave Ste 3Mount Pleasant, WI 53405Language: EnglishGender: MaleNPI: 1770618175License: 2371-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 554-9053Accepts New Patients: YHospital Affiliation: N/A*

PARK, AidanFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000125023555201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1639626450License: 100142115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)PARK, SunjooFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000124363355201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1467801258License: 1001347License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PATEL, ReemaSweet Smiles Family DentistryLlc(262) 672-2393Prov. No.: 0000129003031515 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1033601695License: 1001825License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 672-6737Accepts New Patients: YHospital Affiliation: N/A*

PATIL, Bharti R.Idental Llc(262) 223-0280Prov. No.: 0000126041611320 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1346395456License: 1001531-15License Type: DBP DentistBoard Certified: Not ReportedEmail: idental1320@gmail. comFax: (262) 223-0281Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)PULAPAKA, SirishaSweet Smiles Family DentistryLlc(262) 672-2393Prov. No.: 0000129003081515 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1023364510License: 696915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 672-6737Accepts New Patients: YHospital Affiliation: N/A*

RANGNEKAR, Ishan R.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000124228935201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1336597863License: 100129315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

REET KAUR, RaunaqFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000124610985201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1932552189License: 1001400License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*




Mount Pleasant (Cont.)RIVAS, Adrian A.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000071950591101 S Airline RdMount Pleasant, WI 53406Language: English, SpanishGender: MaleNPI: 1538303714License: 7006License Type: DBP DentistBoard Certified: YEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*

ROMANSKI, JeffreyWisconsin Dental Group ScDba Forward Dental(262) 886-1300Prov. No.: 0000001655486218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1710044243License: 5002023-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 886-1837Accepts New Patients: YHospital Affiliation: N/A*

SANTARELLI, Gregory A.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000003212571101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1578640488License: 5188-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)SCHERRER, Thomas W.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000001043501101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1275668667License: 4899-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*

SEFTON, Valerie M.Aspen Dental(262) 886-9700Prov. No.: 0000126927692860 S Green Bay Rd Ste 104Mount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1316461569License: 1001676License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

SIMES, Derf A.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000001043421101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1891820270License: 3823-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)SONG, DongFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000126443805201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1932625522License: 1001671-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

TSANG, BryanFamilia Dental Racine Llc(888) 988-4066Prov. No.: 0000126322265201 Washington AveMount Pleasant, WI 53406Language: Cantonese, EnglishGender: MaleNPI: 1356866974License: 1001661-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WHITE, Mark A.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000124259255201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1114376225License: 1001296License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)WORTH, Chris M.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000125610045201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1184852998License: 1001462License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

YUN, Jae HyukD2 Dental of Wisconsin Sc(414) 455-8805Prov. No.: 0000130116486012 Washington Ave Ste AMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1477039998License: 1001910License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 455-8812Accepts New Patients: YHospital Affiliation: N/A*

ZENI, Jennifer L.Idental Llc(262) 223-0280Prov. No.: 0000129997821320 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1548406671License: 714615License Type: DBP DentistBoard Certified: Not ReportedEmail: idental1320@gmail. comFax: (262) 223-0281Accepts New Patients: YHospital Affiliation: N/A*




Racine

CAMPBELL, Steven W.Steven W Campbell Dds(262) 554-7670Prov. No.: 0000000257973801 Monarch Dr Ste 1ARacine, WI 53406Language: EnglishGender: MaleNPI: 1538264031License: 2450License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 554-1901Accepts New Patients: YHospital Affiliation: N/A*

ELCHEKHA, HoussamUltimate Dental Care(262) 619-1949Prov. No.: 0000122135344915 Washington Ave Ste BRacine, WI 53406Language: Arabic, EnglishGender: MaleNPI: 1396096574License: 7001-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KEMPER, Richard J.Richard Kemper Dds(262) 634-5323Prov. No.: 0000000976261509 Washington AveRacine, WI 53403Language: EnglishGender: MaleNPI: 1851447387License: 5001427-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Racine (Cont.)KNODEL, Robin D.Robin D Knodel Dds(262) 639-7298Prov. No.: 0000001316874060 N Main St Ste 102Racine, WI 53402Language: EnglishGender: FemaleNPI: 1417070665License: 4519-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 639-3672Accepts New Patients: YHospital Affiliation: N/A*

NGUYEN, Lan-PhuongDr Margaret Aboagye(262) 633-0775Prov. No.: 000000034888400 Lake Ave �Racine, WI 53403Language: EnglishGender: FemaleNPI: 1710069372License: 252015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 632-0925Accepts New Patients: YHospital Affiliation: N/A*

NOROVICH, Stephen N.Southwest Dental Group Sc(262) 632-3156Prov. No.: 0000121130332601 Taylor AveRacine, WI 53403Language: EnglishGender: MaleNPI: 1932235769License: 5001641License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Racine (Cont.)TOPALIAN, Myron G.Myron Topalian Dds(414) 633-5600Prov. No.: 0000130018481680 Douglas AveRacine, WI 53404Language: EnglishGender: MaleNPI: 1295830289License: 5001411License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WINKLER, John F.John F Winkler Dds(262) 639-7223Prov. No.: 0000001585933333 Douglas Ave �Racine, WI 53402Language: English, SpanishGender: MaleNPI: 1235217589License: 5001663-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 639-7224Accepts New Patients: YHospital Affiliation: N/A*

Sturtevant

ABBAS, KomailDental Associates Ltd ofWisconsin(877) 251-0240Prov. No.: 00001325529810155 Washington AveSturtevant, WI 53177Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)ALSHEHABI, HassanDental Associates Ltd(262) 884-3011Prov. No.: 00001289505010155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1063906188License: 1001880License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

ARIZA, RichardDental Associates Ltd(262) 884-3011Prov. No.: 00001298903110155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1902309685License: 1001944-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

BROWN, NatalieDental Associates Ltd(262) 884-3011Prov. No.: 00001303684710155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1053896969License: 1001943License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*




Sturtevant (Cont.)CHEN, XiaoqiDental Associates Ltd(262) 884-3011Prov. No.: 00001302767410155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1053801944License: 1001911License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

DESAI, EktaDental Associates Ltd(262) 884-3011Prov. No.: 00001242694710155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1801240627License: 1001318License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

DESAI, SajanDental Associates Ltd(262) 884-3011Prov. No.: 00001295402310155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1447743455License: 1001920License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)FORCIOLI, Laurent J.Dental Associates Ltd ofWisconsin(877) 251-0240Prov. No.: 00001277566410155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1083146823License: 1001545-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOFFMANN, Edward W.Sturdevant Dental(262) 886-6386Prov. No.: 0000000250839115 Durand Ave �Sturtevant, WI 53177Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HURLEY, Amanda L.Dental Associates Ltd(262) 884-3011Prov. No.: 00001263645910155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1215466826License: 1001593-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)HUSSAIN, SadafDental Associates Ltd(262) 884-3011Prov. No.: 00001292710710155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1679095061License: 1001713-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

JANOSIK, JeffreyDental Associates Ltd(262) 884-3011Prov. No.: 00001219136210155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1730295916License: 5002083License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

MANOS, MarcDental Associates Ltd(262) 884-3011Prov. No.: 00001293957110155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1851772701License: 1001106License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)MANSOUR, Mohammed A.Dental Associates Ltd(262) 884-3011Prov. No.: 00001260489710155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

MIYAMOTO, Courtney R.Dental Associates Ltd(262) 884-3011Prov. No.: 00001306848810155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1891271987License: 1001957License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

MURRAR, InasDental Associates Ltd(262) 884-3011Prov. No.: 00001258888810155 Washington AveSturtevant, WI 53177Language: Arabic, EnglishGender: FemaleNPI: 1699192252License: 7240-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*




Sturtevant (Cont.)OSGOOD KOTLEWSKI, Kristin L.Dental Associates Ltd(262) 884-3011Prov. No.: 00001293427710155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1316978026License: 490215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

PAPE, Richard J.Dental Associates Ltd(262) 884-3011Prov. No.: 00001317653310155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

RAKOWSKY, Nina A.Dental Associates Ltd(262) 884-3011Prov. No.: 00001295890210155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1962980102License: 1001905-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)RICKARD, Paul V.Dental Associates Ltd(262) 884-3011Prov. No.: 00001279411810155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Carlos M.Dental Associates Ltd(262) 884-3011Prov. No.: 00001298419910155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1932602182License: 1001937License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

SEHRA, PamelaDental Associates Ltd(262) 884-3011Prov. No.: 00001263316510155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1922528157License: 1001627-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)STAFFORD, Natalie J.Dental Associates Ltd ofWisconsin(877) 251-0240Prov. No.: 00001288838210155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1811487234License: 1001817License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STOJANOVIC, ChristinaDental Associates Ltd(262) 884-3011Prov. No.: 00001260844810155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1871022236License: 1001605-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

VOLKERT, Lawrence M.Lawrence M Volkert Dds(262) 886-4203Prov. No.: 0000000452492753 Wisconsin StSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1710170626License: 3742-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)WARD, James T.Dental Associates Ltd(262) 884-3011Prov. No.: 00001292648810155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

YANG, Kwon C.Dental Associates Ltd(262) 884-3011Prov. No.: 00001294401310155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1801387501License: 1001872License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

Union Grove

ELAVIA, UpaliMidwest Dental(262) 878-2422Prov. No.: 000012983982951 Main St Ste 100Union Grove, WI 53182Language: EnglishGender: FemaleNPI: 1174008965License: 1001913License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 878-4664Accepts New Patients: YHospital Affiliation: N/A*




Union Grove (Cont.)LENZ, Mary F.Midwest Dental(262) 878-2422Prov. No.: 000012615694951 Main St Ste 100Union Grove, WI 53182Language: EnglishGender: FemaleNPI: 1477089415License: 1001552-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 878-4664Accepts New Patients: YHospital Affiliation: N/A*

ULLOA, John R.The Family Dentist Sc(262) 878-1500Prov. No.: 0000001211061680 15th Ave �Union Grove, WI 53182Language: EnglishGender: MaleNPI: 1871759985License: 4398-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 878-4782Accepts New Patients: YHospital Affiliation: N/A*

URBAITIS, Michael J.The Family Dentist Sc(262) 878-1500Prov. No.: 0000126247111680 15th Ave �Union Grove, WI 53182Language: EnglishGender: MaleNPI: 1114260379License: 7075-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 878-4782Accepts New Patients: YHospital Affiliation: N/A*


Union Grove (Cont.)ZELLER, Jeffrey G.The Family Dentist Sc(262) 878-1500Prov. No.: 0000126118751680 15th Ave �Union Grove, WI 53182Language: EnglishGender: MaleNPI: 1730172248License: 7022-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 878-4782Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY

Beloit

AHMAD, NaheedCommunity Health System Inc(608) 361-0311Prov. No.: 00001261458774 Eclipse CtrBeloit, WI 53511Language: EnglishGender: FemaleNPI: 1609306752License: 1001598-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 361-6131Accepts New Patients: YHospital Affiliation: N/A*

AKHRAS, Yamen M.Midwest Dental(608) 365-4006Prov. No.: 0000050603392101 S Riverside DrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1760744031License: Not ReportedLicense Type: Not ReportedBoard Certified: NEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Beloit (Cont.)ANDERSON, Matthew S.Midwest Dental(608) 365-4006Prov. No.: 0000128420922101 S Riverside DrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1477908655License: 1001772-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*

BAILEY, Tamara L.Gateway Dental Care(608) 312-2945Prov. No.: 0000122176542777 Milwaukee Rd Unit BBeloit, WI 53511Language: EnglishGender: FemaleNPI: 1073536579License: 5785-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 312-2949Accepts New Patients: NHospital Affiliation: N/A*

BANSAL, ShobhitGateway Dental Care(608) 312-2945Prov. No.: 0000127315172777 Milwaukee Rd Unit BBeloit, WI 53511Language: EnglishGender: MaleNPI: 1972918308License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (608) 312-2949Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Beloit (Cont.)BARANEK, ElizabethMidwest Dental(608) 365-4006Prov. No.: 0000125311312101 S Riverside DrBeloit, WI 53511Language: EnglishGender: FemaleNPI: 1568819258License: 100129015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*

BLUMENTHAL, Robert J.Midwest Dental(608) 365-4006Prov. No.: 0000125880172101 S Riverside DrBeloit, WI 53511Language: English, French,Hebrew, SpanishGender: MaleNPI: 1992875256License: 100145815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*

BOLDEN, KimberleyMidwest Dental(608) 365-4006Prov. No.: 0000129697552101 S Riverside DrBeloit, WI 53511Language: EnglishGender: FemaleNPI: 1093873903License: 1001768License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Beloit (Cont.)BRADLE, MarkMidwest Dental(608) 365-4006Prov. No.: 0000128334982101 S Riverside DrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1225410590License: 1001475License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*

CHIERA, Edward J.Drs Grigsby & Chiera(608) 362-5712Prov. No.: 0000000445272149 Pioneer Dr �Beloit, WI 53511Language: EnglishGender: MaleNPI: 1821180464License: 4964License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (608) 362-3359Accepts New Patients: YHospital Affiliation: N/A*

GREENWALDT, ChristopherCommunity Health System Inc(608) 361-0311Prov. No.: 00001244451874 Eclipse CtrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1467849679License: 1001283License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 361-6131Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Beloit (Cont.)GRIGSBY, Robert H.Drs Grigsby & Chiera(608) 362-5712Prov. No.: 0000000445282149 Pioneer Dr �Beloit, WI 53511Language: EnglishGender: MaleNPI: 1912915661License: 1606015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (608) 362-3359Accepts New Patients: YHospital Affiliation: N/A*

HOPKINS, TracyCommunity Health SystemsInc(608) 361-0311Prov. No.: 00001155085774 Eclipse CtrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1821072695License: 5097-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 361-6131Accepts New Patients: YHospital Affiliation: N/A*

MANTAS, Selissa M.Community Health SystemsInc(608) 361-0311Prov. No.: 00001243314974 Eclipse CtrBeloit, WI 53511Language: EnglishGender: FemaleNPI: 1114309085License: 100110715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 361-6131Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Beloit (Cont.)PATEL, MehaGateway Dental Care(608) 312-2945Prov. No.: 0000130325932777 Milwaukee Rd Unit BBeloit, WI 53511Language: EnglishGender: FemaleNPI: 1922591247License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (608) 312-2949Accepts New Patients: YHospital Affiliation: N/A*

PINESCHI, Kenneth V.Midwest Dental(608) 365-4006Prov. No.: 0000128224612101 S Riverside DrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1083887319License: 1001744-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*

RICKARD, Paul V.Midwest Dental(608) 365-4006Prov. No.: 0000128392962101 S Riverside DrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Beloit (Cont.)RIFFLE, Cynthia M.Community Health System Inc(608) 361-0311Prov. No.: 00001303371774 Eclipse CtrBeloit, WI 53511Language: EnglishGender: FemaleNPI: 1831236587License: 3372-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 361-6131Accepts New Patients: YHospital Affiliation: N/A*

SAQA, Rami M.Midwest Dental(608) 365-4006Prov. No.: 0000125866252101 S Riverside DrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1770922429License: 1001495-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 365-4870Accepts New Patients: YHospital Affiliation: N/A*

SCHRAMM, TimothyFirst Choice Dental Group(608) 365-4922Prov. No.: 0000127857392359 Murphy Woods RdBeloit, WI 53511Language: EnglishGender: MaleNPI: 1881115954License: 1001626-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Beloit (Cont.)TRAN, JohnCommunity Health System Inc(608) 361-0311Prov. No.: 00001290023574 Eclipse CtrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1316443351License: 1001855-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 361-6131Accepts New Patients: YHospital Affiliation: N/A*

WILSON, KatieCommunity Health System Inc(608) 361-0311Prov. No.: 00001265005874 Eclipse CtrBeloit, WI 53511Language: EnglishGender: FemaleNPI: 1588194229License: 1001586-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 361-6131Accepts New Patients: YHospital Affiliation: N/A*

Clinton

HAMANN, Brian A.Gentle Family Dentistry(608) 676-5415Prov. No.: 000000160031301 Allen StClinton, WI 53525Language: EnglishGender: MaleNPI: 1629237342License: 5461-15License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 676-5733Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Evansville

CASTEEL, DavidMidwest Dental(608) 882-4338Prov. No.: 000012874738449 S 1st StEvansville, WI 53536Language: EnglishGender: MaleNPI: 1588155683License: 1001812License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 882-6777Accepts New Patients: YHospital Affiliation: N/A*

HARUNANI, Mohamed F.Midwest Dental(608) 882-4338Prov. No.: 000012103366449 S 1st StEvansville, WI 53536Language: EnglishGender: MaleNPI: 1720205560License: 581615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 882-6777Accepts New Patients: YHospital Affiliation: N/A*

PIERCE, Lewis H.Midwest Dental(608) 882-4338Prov. No.: 000012574494449 S 1st StEvansville, WI 53536Language: EnglishGender: MaleNPI: 1902170145License: 100106015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 882-6777Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Evansville (Cont.)WIESER, Margaret B.Midwest Dental(608) 882-4338Prov. No.: 000012159067449 S 1st StEvansville, WI 53536Language: EnglishGender: FemaleNPI: 1700269578License: 1001161License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 882-6777Accepts New Patients: YHospital Affiliation: N/A*

Janesville

ABDELRAHIM, Adham F.Aspen Dental(608) 302-4444Prov. No.: 0000126440113131 Milton Ave Ste 190Janesville, WI 53545Language: EnglishGender: MaleNPI: 1962801738License: 1000992License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

ABDOLISERESHKI, HoomanFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000127913321260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1619369279License: 1001284License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)AUGEND, ArsalanFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124256041260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1053778803License: 1001259License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

AZAD, Koushan H.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124256061260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1154533180License: 1001044License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

AZENABOR, Okwuchi N.Forward Dental(608) 755-1625Prov. No.: 0000126249821407 N Wright RdJanesville, WI 53546Language: EnglishGender: FemaleNPI: 1699202945License: 1001517-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Janesville (Cont.)BACHMAN, Andrew R.Janesville Family Dental Care(608) 563-5565Prov. No.: 0000124595932201 Humes Rd Ste 150Janesville, WI 53545Language: EnglishGender: MaleNPI: 1588015978License: 1001379-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 563-5516Accepts New Patients: YHospital Affiliation: N/A*

BEHM, James C.James C Behm Dds Inc(608) 754-2554Prov. No.: 0000006637981917 E Milwaukee StJanesville, WI 53545Language: EnglishGender: MaleNPI: 1083638134License: 3067015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 754-3535Accepts New Patients: YHospital Affiliation: N/A*

BHIMJI, Sanaa N.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124966591260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1083165351License: 100144015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)BIMARTHI, SavitaFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124443761260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1588017925License: 1001397-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

BROCK, Lynne A.Endodontic Specialists of WiSc(608) 755-9900Prov. No.: 000012460547519 Midland Ct Ste 4 �Janesville, WI 53546Language: EnglishGender: FemaleNPI: 1699784421License: 439115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 755-1040Accepts New Patients: YHospital Affiliation: N/A*

CHAUHAN, ShalabhFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125294831260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1497290043License: 1001466-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)ELDRIDGE, TomRlj Dental(608) 754-7726Prov. No.: 0000127384701504 Creston Park Dr �Janesville, WI 53545Language: EnglishGender: MaleNPI: 1790053668License: 672315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 754-8919Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(608) 755-1625Prov. No.: 0000007103491407 N Wright RdJanesville, WI 53546Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*

GILMORE, WilliamW Gilmore Dds Sc(608) 752-9161Prov. No.: 0000001029631809 E Milwaukee StJanesville, WI 53545Language: EnglishGender: MaleNPI: 1649290065License: 4712License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)GOMEZ, PaulaForward Dental(608) 755-1625Prov. No.: 0000120329261407 N Wright RdJanesville, WI 53546Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(608) 755-1625Prov. No.: 0000099378601407 N Wright RdJanesville, WI 53546Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*

HAYE, John S.Haye Dental Group(608) 756-1444Prov. No.: 0000000254042021 Wesley Ave �Janesville, WI 53545Language: EnglishGender: MaleNPI: 1346391257License: 3949-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Janesville (Cont.)HAYE, John S.Haye Dental Group(608) 752-7931Prov. No.: 000000025407107 N Crosby Ave �Janesville, WI 53548Language: EnglishGender: MaleNPI: 1346391257License: 3949-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HAYE, Thomas D.Thomas Haye(608) 756-1444Prov. No.: 0000000254052021 Wesley Ave �Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1770634602License: 5000638License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HAYE, Thomas D.Haye Dental Group(608) 752-7931Prov. No.: 000000025408107 N Crosby Ave �Janesville, WI 53548Language: EnglishGender: FemaleNPI: 1770634602License: 5000638License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)HERRSCHER, KathleenForward Dental(608) 755-1625Prov. No.: 0000006704891407 N Wright RdJanesville, WI 53546Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*

HOPKINS, TracyCommunity Health SystemsInc(608) 758-7814Prov. No.: 000011550860849 Kellogg AveJanesville, WI 53546Language: EnglishGender: MaleNPI: 1821072695License: 5097-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

JAHDI, Neema A.Wisconsin Dental Group(608) 755-1625Prov. No.: 0000128973041407 N Wright RdJanesville, WI 53546Language: EnglishGender: MaleNPI: 1427341122License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)JHAWAR, ApurvFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000127905321260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1821505322License: 1001731-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KANG, Tae H.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124966701260 Milton Ave Ste 140Janesville, WI 53545Language: Chinese, English,Korean, SpanishGender: MaleNPI: 1255711693License: 100143415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KAPOOR, Tarnit S.Pack Janesville Dental Llc(866) 273-8204Prov. No.: 0000122259373131 Milton Ave Ste 190Janesville, WI 53545Language: EnglishGender: MaleNPI: 1700269388License: 100115415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)KAUR, SimerjeetFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124256091260 Milton Ave Ste 140Janesville, WI 53545Language: English, Hindi,PunjabiGender: FemaleNPI: 1629448170License: 1001211License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KHAN, Mujtaba B.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125022851260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1093260366License: 1001454License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

KISS, MihaiFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125618681260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1700334265License: 1001480License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Janesville (Cont.)LANG, Jeffrey R.Rlj Dental(608) 754-7726Prov. No.: 0000003580541504 Creston Park Dr �Janesville, WI 53545Language: EnglishGender: MaleNPI: 1467533224License: 5069-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 754-8919Accepts New Patients: YHospital Affiliation: N/A*

LIN, KevinFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125066321260 Milton Ave Ste 140Janesville, WI 53545Language: English, Farsi,SpanishGender: MaleNPI: 1639626955License: 100144115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

LIN, ShawnFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125020991260 Milton Ave Ste 140Janesville, WI 53545Language: Chinese, English,MandarinGender: MaleNPI: 1003360272License: 1001444License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)MAHMOOD, Ola R.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124435501260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1437501301License: 1001386License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MALHOTRA, AnupamFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124622951260 Milton Ave Ste 140Janesville, WI 53545Language: English, HindiGender: FemaleNPI: 1780036376License: 1001393License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MARINARO, Carrie A.W Gilmore Dds Sc(608) 752-9161Prov. No.: 0000006301951809 E Milwaukee StJanesville, WI 53545Language: EnglishGender: FemaleNPI: 1699719930License: 5235License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)MAZUCHOWSKI, Raymond J.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125137831260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1255875944License: 1001463-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MCDONALD, Matthew W.Agard & Lipker Dental Sc(608) 755-1082Prov. No.: 0000125433491336 Creston Park DrJanesville, WI 53545Language: EnglishGender: MaleNPI: 1235592734License: 1001311-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 754-0192Accepts New Patients: YHospital Affiliation: N/A*

MEHTA, NishitFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000126371481260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1518480599License: 1001555-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)MIYAMASU, PatrickFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124256111260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1992933915License: 100113License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MOHAMMED, SelmaFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000128860641260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1730601295License: 1001871License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

MORTON, Linnea E.Pack Janesville Dental Llc(866) 273-8204Prov. No.: 0000122145993131 Milton Ave Ste 190Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1821439308License: 7128-15License Type: DBP DentistBoard Certified: NEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Janesville (Cont.)NASTASE, DorinaFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124256131260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1154707388License: 1001194License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

OPHEIM, Kara L.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000127909871260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1306257134License: 1000957-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

PARK, AidanFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125023541260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1639626450License: 100142115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)PETTY, John A.Rlj Dental(608) 754-7726Prov. No.: 0000131099401504 Creston Park Dr �Janesville, WI 53545Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 754-8919Accepts New Patients: YHospital Affiliation: N/A*

POPA, MihaelaCommunity Health SystemsInc(608) 758-7814Prov. No.: 000005058526849 Kellogg AveJanesville, WI 53546Language: EnglishGender: FemaleNPI: 1013101047License: 687215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RANGNEKAR, Ishan R.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124256171260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1336597863License: 100129315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)REET KAUR, RaunaqFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124610931260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1932552189License: 1001400License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

SCHULZ, Sidney B.Pack Janesville Dental Llc(866) 273-8204Prov. No.: 0000124214193131 Milton Ave Ste 190Janesville, WI 53545Language: EnglishGender: MaleNPI: 1164546503License: 3822-15License Type: DBP DentistBoard Certified: NEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

SEUBERT, AaronForward Dental(608) 755-1625Prov. No.: 0000126249871407 N Wright RdJanesville, WI 53546Language: EnglishGender: MaleNPI: 1962938605License: 1001609-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)SIDO, AbdulcadirForward Dental(608) 755-1625Prov. No.: 0000124553531407 N Wright RdJanesville, WI 53546Language: EnglishGender: MaleNPI: 1093859225License: 5001559-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*

STEGEMAN, Ronald E.Ronald E Stegeman Dds(608) 752-2665Prov. No.: 0000001134081123 Suffolk DrJanesville, WI 53546Language: EnglishGender: MaleNPI: 1093885170License: 330715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 752-2313Accepts New Patients: YHospital Affiliation: N/A*

SYED, Samar B.Aspen Dental(608) 302-4444Prov. No.: 0000127759973131 Milton Ave Ste 190Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1265816417License: 1001725License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Janesville (Cont.)TOTO, Michael G.Rlj Dental(608) 754-7726Prov. No.: 0000126047411504 Creston Park Dr �Janesville, WI 53545Language: EnglishGender: MaleNPI: 1164633905License: 1001490-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 754-8919Accepts New Patients: YHospital Affiliation: N/A*

TRAUL JR, Robert E.Community Health SystemsInc(608) 758-7814Prov. No.: 000011332160849 Kellogg AveJanesville, WI 53546Language: EnglishGender: MaleNPI: 1982734257License: 6069-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

VUDDARAJU, HimabinduFamilia Dental Janesville Llc(888) 988-4066Prov. No.: 0000126180281260 Milton Ave Ste 140Janesville, WI 53545Language: English, IndianGender: FemaleNPI: 1043731995License: 1001643-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)WAPOTISH, Ronald B.Forward Dental(608) 755-1625Prov. No.: 0000003480431407 N Wright RdJanesville, WI 53546Language: EnglishGender: MaleNPI: 1801093927License: 6094-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 755-1796Accepts New Patients: YHospital Affiliation: N/A*

WHITE, Mark A.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000124345901260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1114376225License: 1001296License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WORTH, Chris M.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125611521260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: MaleNPI: 1184852998License: 1001462License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Milton

MCDONALD, Matthew W.Agard & Lipker Dental Sc(608) 868-4444Prov. No.: 000012625971858 Arthur DrMilton, WI 53563Language: EnglishGender: MaleNPI: 1235592734License: 1001311-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 868-4430Accepts New Patients: YHospital Affiliation: N/A*

RUSK COUNTY

Ladysmith

REISNER, Stephen D.Dr Stephen Reisner Dentistry(715) 532-5606Prov. No.: 000000140724120 1st St SLadysmith, WI 54848Language: EnglishGender: MaleNPI: 1710225735License: 3677-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 532-9675Accepts New Patients: YHospital Affiliation: N/A*

SAINT CROIX COUNTY

Baldwin

BOTSFORD, Brandon N.Midwest Dental Baldwin(715) 688-3855Prov. No.: 0000124428531460 10th Ave Ste BBaldwin, WI 54002Language: EnglishGender: MaleNPI: 1851688386License: 6753License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 688-3856Accepts New Patients: YHospital Affiliation: N/A*

SAINT CROIX COUNTY (Cont.)

Baldwin (Cont.)KRISTO, Steven J.Kristo Ltd(715) 835-5182Prov. No.: 0000128303471460 10th Ave Ste BBaldwin, WI 54002Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Glenwood City

RASMUSSEN, Charles W.Charles W Rasmussen Dds(715) 265-4258Prov. No.: 000000023501104 E Oak StGlenwood City, WI 54013Language: EnglishGender: MaleNPI: 1578644761License: 5001061License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Hudson

BARSNESS, Angie M.Pdg Pa(715) 377-9966Prov. No.: 0000121670141003 Pearson DrHudson, WI 54016Language: EnglishGender: FemaleNPI: 1891080891License: 1001001-15License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: (715) 377-9933Accepts New Patients: YHospital Affiliation: N/A*




Hudson (Cont.)BROWNING, Christopher G.Pdg Pa(715) 377-9966Prov. No.: 0000124588851003 Pearson DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1548372527License: 5532License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: (715) 377-9933Accepts New Patients: YHospital Affiliation: N/A*

CARLSON, Sarah L.Pdg Pa(651) 454-2700Prov. No.: 0000130512151003 Pearson DrHudson, WI 54016Language: EnglishGender: FemaleNPI: 1306976279License: 6847-15License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CLARE, Samantha S.Oakwood Dental - Hudson Llc(715) 386-5400Prov. No.: 000012937988744 Ryan DrHudson, WI 54016Language: EnglishGender: FemaleNPI: 1689104721License: 1001580-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 386-9154Accepts New Patients: YHospital Affiliation: N/A*


Hudson (Cont.)CLARK, Charles L.Pdg Pa(715) 377-9966Prov. No.: 0000125713981003 Pearson DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1558408930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: (715) 377-9933Accepts New Patients: YHospital Affiliation: N/A*

CODY, Sara E.Oakwood Dental - Hudson Llc(715) 386-5400Prov. No.: 000010213271744 Ryan DrHudson, WI 54016Language: EnglishGender: FemaleNPI: 1386844785License: 603515License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 386-9154Accepts New Patients: YHospital Affiliation: N/A*

KERR, James A.Pdg Pa(651) 454-2700Prov. No.: 0000130253581003 Pearson DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1750504619License: 5462License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Hudson (Cont.)KERTIS, James E.Oakwood Dental - Hudson Llc(715) 386-5400Prov. No.: 000001821758744 Ryan DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1639462567License: 6684-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 386-9154Accepts New Patients: YHospital Affiliation: N/A*

NAEGELI, David G.Pdg Pa(715) 377-9966Prov. No.: 0000124620301003 Pearson DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1083773568License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: (715) 377-9933Accepts New Patients: YHospital Affiliation: N/A*

PARKER, MichellePdg Pa(651) 454-2700Prov. No.: 0000127910721003 Pearson DrHudson, WI 54016Language: EnglishGender: FemaleNPI: 1972985364License: 1001108-15License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Hudson (Cont.)PURDY, James D.James D Purdy Dds(715) 381-9785Prov. No.: A00000017848745 Sommers St NHudson, WI 54016Language: EnglishGender: MaleNPI: 1225118508License: 5625License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 381-9786Accepts New Patients: YHospital Affiliation: N/A*

RONNING, Valentina V.Pdg Pa(651) 454-2700Prov. No.: 0000128196861003 Pearson DrHudson, WI 54016Language: EnglishGender: FemaleNPI: 1538691423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TIETZ, Ryan W.Oakwood Dental - Hudson Llc(715) 386-5400Prov. No.: 000000358322744 Ryan DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1760471643License: 6128-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 386-9154Accepts New Patients: YHospital Affiliation: N/A*




Hudson (Cont.)WERT, Chad J.Pdg Pa(715) 377-9966Prov. No.: 0000124620401003 Pearson DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1982966529License: 6963License Type: DBP DentistBoard Certified: NEmail: shesse@parkdental. comFax: (715) 377-9933Accepts New Patients: YHospital Affiliation: N/A*

ZIEMER, Jason B.Pdg Pa(651) 454-2700Prov. No.: 0000127630481003 Pearson DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1811057292License: 4933License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

New Richmond

CLARE, Samantha S.New Richmond Dental(715) 246-2227Prov. No.: 0000126224381367 Campus DrNew Richmond, WI 54017Language: EnglishGender: FemaleNPI: 1689104721License: 1001580-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 246-3694Accepts New Patients: YHospital Affiliation: N/A*


New Richmond (Cont.)JENSEN, Nathan J.Midwest Dental - NewRichmond(715) 246-2111Prov. No.: 000012236941227 Meridian Dr Ste 1New Richmond, WI 54017Language: EnglishGender: MaleNPI: 1003229618License: 1001264License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 246-2579Accepts New Patients: YHospital Affiliation: N/A*

KJOLSING, Jerome M.Jerome Kjolsing Dds Llc(715) 246-2555Prov. No.: 000000181339645 Hospital Rd �New Richmond, WI 54017Language: EnglishGender: MaleNPI: 1932203163License: 2198015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 246-4361Accepts New Patients: YHospital Affiliation: N/A*

KOUBSKY, Evan C.Family Dentistry Sc(715) 246-6603Prov. No.: 000012798203135 W 2nd StNew Richmond, WI 54017Language: EnglishGender: MaleNPI: 1134659576License: 1001532-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 246-6649Accepts New Patients: YHospital Affiliation: N/A*


New Richmond (Cont.)KRISTO, Steven J.Kristo Ltd(715) 246-5165Prov. No.: 000012830345227 Meridian Dr Ste 2New Richmond, WI 54017Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LINDQUIST, Kellie D.Family Dentistry Sc(715) 246-6603Prov. No.: 000000106514135 W 2nd StNew Richmond, WI 54017Language: EnglishGender: FemaleNPI: 1285721530License: 5058License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 246-6649Accepts New Patients: YHospital Affiliation: N/A*

MCFARLAND, Sara N.New Richmond Dental(715) 246-2227Prov. No.: 0000023009091367 Campus DrNew Richmond, WI 54017Language: EnglishGender: FemaleNPI: 1255694386License: 6937-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 246-3694Accepts New Patients: YHospital Affiliation: N/A*


New Richmond (Cont.)SEDLAR, PatrickNew Richmond Dental(715) 246-2227Prov. No.: 0000130591741367 Campus DrNew Richmond, WI 54017Language: EnglishGender: MaleNPI: 1871019570License: 1001922License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 246-3694Accepts New Patients: YHospital Affiliation: N/A*

STAI, Douglas G.Family Dentistry Sc(715) 246-6603Prov. No.: 000000106512135 W 2nd StNew Richmond, WI 54017Language: EnglishGender: MaleNPI: 1619051042License: 343315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 246-6649Accepts New Patients: YHospital Affiliation: N/A*

TIETZ, Ryan W.New Richmond Dental(715) 246-2227Prov. No.: 0000004476351367 Campus DrNew Richmond, WI 54017Language: EnglishGender: MaleNPI: 1760471643License: 6128-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 246-3694Accepts New Patients: YHospital Affiliation: N/A*




New Richmond (Cont.)WELCH, Matthew J.Family Dentistry Sc(715) 246-6603Prov. No.: 000012243212135 W 2nd StNew Richmond, WI 54017Language: EnglishGender: MaleNPI: 1154760452License: 7123-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 246-6649Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Midwest Dental - NewRichmond(715) 246-2111Prov. No.: 000012820381227 Meridian Dr Ste 1New Richmond, WI 54017Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 246-2579Accepts New Patients: YHospital Affiliation: N/A*

Roberts

BRUINOOGE, Michael M.St Croix Valley Dental Pllc(715) 749-9111Prov. No.: 000000349506501 Cherry Ln �Roberts, WI 54023Language: EnglishGender: MaleNPI: 1427178011License: 6115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Roberts (Cont.)KOUBSKY, Evan C.Family Dentistry Sc(715) 749-3724Prov. No.: 000012991087205 S Division StRoberts, WI 54023Language: EnglishGender: MaleNPI: 1134659576License: 1001532-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LINDQUIST, Kellie D.Family Dentistry Sc(715) 749-3724Prov. No.: 000000288711205 S Division StRoberts, WI 54023Language: EnglishGender: FemaleNPI: 1285721530License: 5058License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PETERSEN, Kristy L.St Croix Valley Dental Pllc(715) 749-9111Prov. No.: 000000338837501 Cherry Ln �Roberts, WI 54023Language: EnglishGender: FemaleNPI: 1407948060License: 5884015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Roberts (Cont.)WELCH, Matthew J.Family Dentistry Sc(715) 749-3724Prov. No.: 000012696288205 S Division StRoberts, WI 54023Language: EnglishGender: MaleNPI: 1154760452License: 7123-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Somerset

BARSNESS, Angie M.Pdg Pa(651) 454-2700Prov. No.: 000012201779705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: FemaleNPI: 1891080891License: 1001001-15License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BROWNING, Christopher G.Pdg Pa(651) 454-2700Prov. No.: 000012326382705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1548372527License: 5532License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Somerset (Cont.)BRUINOOGE, Michael M.Pdg Pa(651) 454-2700Prov. No.: 000012323216705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1427178011License: 6115License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CARLSON, Sarah L.Pdg Pa(651) 454-2700Prov. No.: 000013051211705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: FemaleNPI: 1306976279License: 6847-15License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CLARK, Charles L.Pdg Pa(651) 454-2700Prov. No.: 000012571798705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1558408930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Somerset (Cont.)ESHLEMAN, Kelsey J.Pdg Pa(651) 454-2700Prov. No.: 000012104099705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: FemaleNPI: 1407082738License: 6586-15License Type: DBP DentistBoard Certified: NEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GMEINDER, Lori M.Pdg Pa(651) 454-2700Prov. No.: 000012324508705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: FemaleNPI: 1184716755License: 6042License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KERR, James A.Pdg Pa(651) 454-2700Prov. No.: 000013025817705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1750504619License: 5462License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: (715) 247-2407Accepts New Patients: YHospital Affiliation: N/A*


Somerset (Cont.)NAEGELI, David G.Pdg Pa(651) 454-2700Prov. No.: 000012426539705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1083773568License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

OLSON, Mark G.Pdg Pa(651) 454-2700Prov. No.: 000013067230705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1871646588License: 2817License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PARKER, MichellePdg Pa(651) 454-2700Prov. No.: 000012733448705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: FemaleNPI: 1972985364License: 1001108-15License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Somerset (Cont.)PETERSEN, Kristy L.Pdg Pa(651) 454-2700Prov. No.: 000012198381705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: FemaleNPI: 1407948060License: 5884015License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RONNING, Valentina V.Pdg Pa(651) 454-2700Prov. No.: 000012819947705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: FemaleNPI: 1538691423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STROMBERG, Barry R.Pdg Pa(651) 454-2700Prov. No.: 000000140024705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1265439350License: 5146015License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: (715) 247-2407Accepts New Patients: YHospital Affiliation: N/A*


Somerset (Cont.)WERT, Chad J.Pdg Pa(651) 454-2700Prov. No.: 000012325366705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1982966529License: 6963License Type: DBP DentistBoard Certified: NEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOLFF, Douglas S.Pdg Pa(651) 454-2700Prov. No.: 000012320171705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1780690982License: 5051015License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ZIEMER, Jason B.Pdg Pa(651) 454-2700Prov. No.: 000012763004705 Rivard St Ste 1Somerset, WI 54025Language: EnglishGender: MaleNPI: 1811057292License: 4933License Type: DBP DentistBoard Certified: Not ReportedEmail: shesse@parkdental. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



SAUK COUNTY

Prairie Du Sac

OEHLKE, Brieanne M.Eagleview Dental Office Llc(608) 643-3855Prov. No.: 000012496375476 Water StPrairie Du Sac, WI 53578Language: EnglishGender: FemaleNPI: 1043624034License: 727215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 643-6295Accepts New Patients: YHospital Affiliation: N/A*

TETEAK, Myles D.Eagleview Dental Office Llc(608) 643-3855Prov. No.: 000000027187476 Water StPrairie Du Sac, WI 53578Language: EnglishGender: MaleNPI: 1023186129License: 4611015License Type: DBP DentistBoard Certified: NEmail:Fax: (608) 643-6295Accepts New Patients: YHospital Affiliation: N/A*

Reedsburg

HARUNANI, Mohamed F.Midwest Dental(608) 524-3787Prov. No.: 000000467042117 E Main StReedsburg, WI 53959Language: EnglishGender: MaleNPI: 1720205560License: 581615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 524-6057Accepts New Patients: YHospital Affiliation: N/A*

SAUK COUNTY (Cont.)

Reedsburg (Cont.)HUNTER, Craig J.Midwest Dental(608) 524-3787Prov. No.: 000012124979117 E Main StReedsburg, WI 53959Language: EnglishGender: MaleNPI: 1740390814License: 2752-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 524-6057Accepts New Patients: YHospital Affiliation: N/A*

LONGE, William G.Midwest Dental(608) 524-3787Prov. No.: 000012142813117 E Main StReedsburg, WI 53959Language: EnglishGender: MaleNPI: 1013136381License: 2717-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 524-6057Accepts New Patients: YHospital Affiliation: N/A*

SCOTT, Virginia G.Midwest Dental(608) 524-3787Prov. No.: 000012310850117 E Main StReedsburg, WI 53959Language: EnglishGender: FemaleNPI: 1649390063License: 4505-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 524-6057Accepts New Patients: YHospital Affiliation: N/A*

SAUK COUNTY (Cont.)

Reedsburg (Cont.)SWEENEY, Patrick F.Midwest Dental(608) 524-3787Prov. No.: 000012092550117 E Main StReedsburg, WI 53959Language: EnglishGender: MaleNPI: 1053483214License: 5001363License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 524-6057Accepts New Patients: YHospital Affiliation: N/A*

VANDERWOUDE, Jennifer A.Midwest Dental(608) 524-3787Prov. No.: 000012646972117 E Main StReedsburg, WI 53959Language: EnglishGender: FemaleNPI: 1083131221License: 1001678-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 524-6057Accepts New Patients: YHospital Affiliation: N/A*

SAWYER COUNTY

Radisson

ROUSH, Eugene D.Eugene Roush Dds(715) 945-2901Prov. No.: 000012320427Po Box 8Radisson, WI 54867Language: EnglishGender: MaleNPI: 1568575066License: 2853License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHAWANO COUNTY

Shawano

PRISTEL-MILLER, Faith C.Midwest Dental(715) 524-3565Prov. No.: 000012164677336 S Main StShawano, WI 54166Language: EnglishGender: FemaleNPI: 1215057401License: 446415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 524-3565Accepts New Patients: YHospital Affiliation: N/A*

Wittenberg

BAILEY, Tamara L.Quirt Family Dentistry -Wittenberg(715) 253-2694Prov. No.: 000012107190200 S Cherry St �Wittenberg, WI 54499Language: EnglishGender: FemaleNPI: 1073536579License: 5785-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 253-3838Accepts New Patients: YHospital Affiliation: N/A*

BIRR, Elizabeth R.Quirt Family Dentistry -Wittenberg(715) 253-2694Prov. No.: 000012149636200 S Cherry St �Wittenberg, WI 54499Language: EnglishGender: FemaleNPI: 1063648970License: 6400-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 253-3838Accepts New Patients: NHospital Affiliation: N/A*



SHAWANO COUNTY (Cont.)

Wittenberg (Cont.)CRONKRITE, John G.Szmanda Dental Center(715) 253-3200Prov. No.: 000012232690202 E Grand Ave �Wittenberg, WI 54499Language: EnglishGender: MaleNPI: 1740274422License: 500168815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 253-3201Accepts New Patients: YHospital Affiliation: N/A*

FELKNER, John L.Szmanda Dental Center(715) 253-3200Prov. No.: A00000020759202 E Grand Ave �Wittenberg, WI 54499Language: EnglishGender: MaleNPI: 1710016167License: 5001554-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 253-3201Accepts New Patients: YHospital Affiliation: N/A*

GAUTHIER, Benjamin J.Quirt Family Dentistry -Wittenberg(715) 253-2694Prov. No.: 000008513652200 S Cherry St �Wittenberg, WI 54499Language: EnglishGender: MaleNPI: 1740599455License: 6618-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 253-3838Accepts New Patients: YHospital Affiliation: N/A*


Wittenberg (Cont.)PREHN, RonaldSzmanda Dental Center(715) 253-3200Prov. No.: 000012845927202 E Grand Ave �Wittenberg, WI 54499Language: EnglishGender: MaleNPI: 1700085933License: 3010License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 253-3201Accepts New Patients: YHospital Affiliation: N/A*

SCHULKE, Yvonne L.Szmanda Dental Center(715) 253-3200Prov. No.: 000012428462202 E Grand Ave �Wittenberg, WI 54499Language: EnglishGender: FemaleNPI: 1275995268License: 100129815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 253-3201Accepts New Patients: YHospital Affiliation: N/A*

SOBOLEWSKI, James A.Szmanda Dental Center(715) 253-3200Prov. No.: A00000020883202 E Grand Ave �Wittenberg, WI 54499Language: EnglishGender: MaleNPI: 1457343055License: 34282-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 253-3201Accepts New Patients: YHospital Affiliation: N/A*


Wittenberg (Cont.)SZMANDA, Paul W.Szmanda Dental Center(715) 253-3200Prov. No.: 000000310496202 E Grand Ave �Wittenberg, WI 54499Language: EnglishGender: MaleNPI: 1336230440License: 3262License Type: DBP DentistBoard Certified: NEmail: [email protected]: (715) 253-3201Accepts New Patients: YHospital Affiliation: N/A*

SHEBOYGAN COUNTY

Cedar Grove

DUENK, Jeffrey J.Cedar Grove Dental Clinic(920) 668-8546Prov. No.: 000000098468608 Elm StCedar Grove, WI 53013Language: EnglishGender: MaleNPI: 1922267434License: 3595-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Plymouth

MUKHIN, Mikhail I.Midwest Dental(920) 893-8458Prov. No.: 000012107893130 Carr Rd �Plymouth, WI 53073Language: EnglishGender: MaleNPI: 1053647081License: 638315License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHEBOYGAN COUNTY (Cont.)

Plymouth (Cont.)NILES, David C.Rlj Dental Sc(920) 892-2951Prov. No.: 00001012058921 S Bruns Ave �Plymouth, WI 53073Language: EnglishGender: MaleNPI: 1215051529License: 7163-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 892-2953Accepts New Patients: YHospital Affiliation: N/A*

PETTY, John A.Rlj Dental Sc(920) 892-2951Prov. No.: 00001310993821 S Bruns Ave �Plymouth, WI 53073Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 892-2953Accepts New Patients: YHospital Affiliation: N/A*

ROSENBERG III, Neal F.Rlj Dental Sc(920) 892-2951Prov. No.: 00001223566321 S Bruns Ave �Plymouth, WI 53073Language: EnglishGender: MaleNPI: 1447659644License: 1000990License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 892-2953Accepts New Patients: YHospital Affiliation: N/A*




Sheboygan

BENNETT, Christina M.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000129081131721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1730674664License: 1001867License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

BROCK, Lynne A.Endodontic Specialists of WiSc(920) 452-9550Prov. No.: 0000124585063314 Superior Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1699784421License: 439115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 452-9292Accepts New Patients: YHospital Affiliation: N/A*

BUCHANAN, Edward A.Family Dental Care OnWashington(920) 287-3166Prov. No.: 0000121611663555 Washington Avenue S �Frontage RdSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1790869790License: 4345-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 287-3162Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)CALLEIA, Gregory C.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000128573551721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1134144371License: 1001644License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

CHRISTOPHERSON, Abbey L.Aspen Dental(920) 892-6961Prov. No.: 0000128981713064 S Business DrSheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1083106553License: 1001840License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DARLING, Robert P.Midwest Dental(920) 457-1717Prov. No.: 000000191979638 Riverfront DrSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1184753519License: 331115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 457-1096Accepts New Patients: NHospital Affiliation: N/A*


Sheboygan (Cont.)DARNIEDER, Maura R.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000127447881721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1912364241License: 1001255-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

GAINEY, TimothyLakeshore Community Health(920) 783-6633Prov. No.: 0000121660391931 N 8th StSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1932589678License: 1001085License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GAINEY, TimothyLakeshore Community HealthCare(920) 686-2333Prov. No.: 0000124265841721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1932589678License: 1001085License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)GARCIA, Reyna G.Lakeshore Community Health(920) 783-6633Prov. No.: 0000124574741931 N 8th StSheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1760830228License: 100134015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, Reyna G.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000124578871721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1760830228License: 100134015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

GEIGER, Kenneth E.Midwest Dental(920) 457-1717Prov. No.: 000000192063638 Riverfront DrSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1881723229License: 3224-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 457-1096Accepts New Patients: NHospital Affiliation: N/A*




Sheboygan (Cont.)GRECH, Alexander W.Midwest Dental(920) 457-1717Prov. No.: 000012496546638 Riverfront DrSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1346379799License: 517115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 457-1096Accepts New Patients: YHospital Affiliation: N/A*

HASSAN, Zubair U.Aspen Dental(920) 892-6961Prov. No.: 0000127538013064 S Business DrSheboygan, WI 53081Language: English, SpanishGender: MaleNPI: 1942651591License: 1001370-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOLMES, Peter N.Aspen Dental(920) 892-6961Prov. No.: 0000129099853064 S Business DrSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1629560248License: 1001878License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)KISSNER, Thomas E.Lakeshore Community Health(920) 783-6633Prov. No.: 0000120719431931 N 8th StSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1033276373License: 4976-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KISSNER, Thomas E.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000124265851721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1033276373License: 4976-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

MAYER, David P.David P Mayer Dds(920) 458-7783Prov. No.: 0000001414442705 N 8th StSheboygan, WI 53083Language: EnglishGender: MaleNPI: 1629265350License: 2569-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 458-7794Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)MILO, Paul M.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000128217031721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1184795767License: 1001679-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

MORRISON, Lauren A.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000129081141721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1477048411License: 1001847License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

MORTON, Linnea E.Aspen Dental(920) 892-6961Prov. No.: 0000122144973064 S Business DrSheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1821439308License: 7128-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)MOSER, John E.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000124265861721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1861487472License: 5001640-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

NEU, Natalie R.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000130106481721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1164593893License: 5768License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

PAULY, Katherine L.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000126805841721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1215381009License: 1001375-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*




Sheboygan (Cont.)RAMIREZ, AnnaLakeshore Community HealthCare(920) 686-2333Prov. No.: 0000126940601721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1932511490License: 723915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

REED, John F.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000130515611721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1053469676License: 3877License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

ROSENBERG III, Neal F.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000128574321721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1447659644License: 1000990License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)SCHULER, Ethan J.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000126146881721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1649708546License: 1001561-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

SEFTON, Valerie M.Aspen Dental(920) 892-6961Prov. No.: 0000127537993064 S Business DrSheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1316461569License: 1001676License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Nancy L.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000130254391721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1164595195License: 1001726License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)STREAM, Tara F.Lakeshore Community Health(920) 783-6633Prov. No.: 0000120552671931 N 8th StSheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1851703458License: 7234-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STREAM, Tara F.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000123349721721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1851703458License: 7234-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

TOWNSEND, Ronald J.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000125894531721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1154661411License: 1001479-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)WALSH, AshleyLakeshore Community HealthCare(920) 686-2333Prov. No.: 0000127017561721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1811377054License: 1001653-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

WILLDING, Robert S.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000129983021721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1821292806License: 5001090License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

WILSON, CaseySheboygan Area CommunityClinic Inc(920) 783-6633Prov. No.: 0000120552681931 N 8th St �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1164833562License: 724415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 783-6635Accepts New Patients: YHospital Affiliation: N/A*




Sheboygan (Cont.)WILSON, CaseyLakeshore Community HealthCare(920) 686-2333Prov. No.: 0000123209891721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1164833562License: 724415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

XIONG, Mai J.Sheboygan Area CommunityClinic Inc(920) 783-6633Prov. No.: 0000124246321931 N 8th St �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1861703365License: 667115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 783-6635Accepts New Patients: YHospital Affiliation: N/A*

XIONG, Mai J.Lakeshore Community HealthCare(920) 686-2333Prov. No.: 0000124265891721 Saemann Ave �Sheboygan, WI 53081Language: EnglishGender: FemaleNPI: 1861703365License: 667115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 686-2334Accepts New Patients: YHospital Affiliation: N/A*

TREMPEALEAU COUNTY

Arcadia

RINDAHL, Terry L.Terry L Rindahl DdsProv. No.: 000000141628317 S Saint Joseph AveArcadia, WI 54612Language: EnglishGender: MaleNPI: 1073630885License: 3316License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Strum

UNDERWOOD, Brian J.Midwest Dental(715) 695-2918Prov. No.: 000000126126105 5th Ave N �Strum, WI 54770Language: EnglishGender: MaleNPI: 1972524908License: 3750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 695-3852Accepts New Patients: YHospital Affiliation: N/A*

VERNON COUNTY

Viroqua

BRADLE, MarkMidwest Dental(608) 637-2653Prov. No.: 000013041232121 E Terhune StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1225410590License: 1001475License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 637-2653Accepts New Patients: YHospital Affiliation: N/A*

VERNON COUNTY (Cont.)

Viroqua (Cont.)COLVIN, Michael J.Midwest Dental(608) 637-2653Prov. No.: 000012700649121 E Terhune StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1396836607License: 2933-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 637-2653Accepts New Patients: YHospital Affiliation: N/A*

DETARI, Brian D.Midwest Dental(608) 637-2653Prov. No.: 000012945520121 E Terhune StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1619950573License: 100126615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 637-2653Accepts New Patients: YHospital Affiliation: N/A*

DILLARD, Kurt A.Midwest Dental(608) 637-2653Prov. No.: 000012918988121 E Terhune StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1346389558License: 5309-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 637-2653Accepts New Patients: YHospital Affiliation: N/A*


Viroqua (Cont.)DOMEYER, AlanScenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012567822407 S Main StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1770895567License: 6541-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

GRAF DOMEYER, JulieeScenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012318227407 S Main StViroqua, WI 54665Language: EnglishGender: FemaleNPI: 1649568296License: 6730-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

GROH, KatelynMidwest Dental(608) 637-2653Prov. No.: 000012926331121 E Terhune StViroqua, WI 54665Language: EnglishGender: FemaleNPI: 1235620535License: 1001797License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 637-2653Accepts New Patients: YHospital Affiliation: N/A*




Viroqua (Cont.)IREY, John P.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012145698407 S Main StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1578660213License: 100103815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

JOHNSTON, Stephen A.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012634682407 S Main StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1497884852License: 575215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

KAUFMAN, Robert J.Midwest Dental(608) 637-2653Prov. No.: 000013221025121 E Terhune StViroqua, WI 54665Language: English, HebrewGender: MaleNPI: 1437138906License: 1001762-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 637-2653Accepts New Patients: YHospital Affiliation: N/A*


Viroqua (Cont.)KOXLIEN, AlishaScenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012496205407 S Main StViroqua, WI 54665Language: EnglishGender: FemaleNPI: 1750739082License: 1001302-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

LANGEBERG, Allen D.Midwest Dental(608) 637-2653Prov. No.: 000013081519121 E Terhune StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 637-2653Accepts New Patients: YHospital Affiliation: N/A*

MCDONALD, Karla R.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012555952407 S Main StViroqua, WI 54665Language: EnglishGender: FemaleNPI: 1124463443License: 7226License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*


Viroqua (Cont.)MEARS, JohnScenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012694400407 S Main StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1407285521License: 718115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

PARKER, Brent D.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012206798407 S Main StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1376855098License: 6545-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

SPAIN, Daniel L.Midwest Dental(608) 637-2653Prov. No.: 000013110581121 E Terhune StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1871799874License: 100126215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 637-2653Accepts New Patients: YHospital Affiliation: N/A*


Viroqua (Cont.)SUEPPEL, James R.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012567439407 S Main StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1558357020License: 6171015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

TOWNSEND, David B.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012567771407 S Main StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1295833986License: 6165015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

VILAS COUNTY

Lac Du Flambeau

HELGERSON, ArthurPeter Christensen DentalClinic(715) 588-4269Prov. No.: 000012456070128 Old Abe RdLac Du Flambeau, WI 54538Language: EnglishGender: MaleNPI: 1962460253License: 5000639License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



WALWORTH COUNTY

Delavan

HOCHSTRASSER, Johann S.Delavan Family Dentistry(262) 740-1010Prov. No.: 0000121945321624 Hobbs Dr Ste 2 �Delavan, WI 53115Language: EnglishGender: MaleNPI: 1952533465License: 1001132License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 740-0092Accepts New Patients: NHospital Affiliation: N/A*

JOHNSON, Benjamin S.Benjamin S Johnson Dds Sc(262) 728-9330Prov. No.: 000012742975134 S 4th St �Delavan, WI 53115Language: EnglishGender: MaleNPI: 1306007737License: 6240-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 728-0172Accepts New Patients: YHospital Affiliation: N/A*

PATTANI, Amar H.Benjamin S Johnson Dds Sc(262) 728-9330Prov. No.: 000012434405134 S 4th St �Delavan, WI 53115Language: EnglishGender: MaleNPI: 1477900967License: 1001309License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 728-0172Accepts New Patients: YHospital Affiliation: N/A*

WALWORTH COUNTY (Cont.)

Delavan (Cont.)SCHEFF TAIBL, Emily M.Delavan Family Dentistry(262) 740-1010Prov. No.: 0000004502541624 Hobbs Dr Ste 2 �Delavan, WI 53115Language: EnglishGender: FemaleNPI: 1306073317License: 6416-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 740-0092Accepts New Patients: NHospital Affiliation: N/A*

ZAMBITO, Albert J.Delavan Family Dentistry(262) 740-1010Prov. No.: 0000004436651624 Hobbs Dr Ste 2 �Delavan, WI 53115Language: EnglishGender: MaleNPI: 1598839235License: 5474-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 740-0092Accepts New Patients: NHospital Affiliation: N/A*

East Troy

HAREID, Kate L.East Troy Family DentalCenter(262) 642-5695Prov. No.: 0000128574232481 Executive DrEast Troy, WI 53120Language: EnglishGender: FemaleNPI: 1972751923License: 1001270License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 642-5395Accepts New Patients: YHospital Affiliation: N/A*


East Troy (Cont.)SAEIAN, KamyarEast Troy Family DentalCenter(262) 642-5695Prov. No.: 0000126066452481 Executive DrEast Troy, WI 53120Language: EnglishGender: MaleNPI: 1912109752License: 3666015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 642-5395Accepts New Patients: YHospital Affiliation: N/A*

WANEZEK, JacquelinePhilip Wanezek(262) 642-5881Prov. No.: 0000126312332564 Main StEast Troy, WI 53120Language: EnglishGender: FemaleNPI: 1932632353License: 1001617-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 642-7252Accepts New Patients: YHospital Affiliation: N/A*

WANEZEK, Philip M.Philip Wanezek(262) 642-5881Prov. No.: 0000124987342564 Main StEast Troy, WI 53120Language: EnglishGender: MaleNPI: 1649673435License: 2513-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 642-7252Accepts New Patients: YHospital Affiliation: N/A*


East Troy (Cont.)WANEZEK, Thomas P.Wanezek Family Dentistry(262) 642-5881Prov. No.: 0000124391272564 Main StEast Troy, WI 53120Language: EnglishGender: MaleNPI: 1508026659License: 5613015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 642-7252Accepts New Patients: YHospital Affiliation: N/A*

Elkhorn

GUNDLACH, DonaldRobert Anderson(262) 723-3224Prov. No.: 000012926328220 Commerce CtElkhorn, WI 53121Language: EnglishGender: MaleNPI: 1770594244License: 5330-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Fontana

ARNOLD, Peter B.Fontana Family Dentistry Llc(262) 275-8080Prov. No.: 000000443492450 Mill St Ste 101 �Fontana, WI 53125Language: EnglishGender: MaleNPI: 1528136983License: 5000595-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 275-5890Accepts New Patients: YHospital Affiliation: N/A*




Fontana (Cont.)DILLMAN, Robert C.Fontana Family Dentistry Llc(262) 275-8080Prov. No.: 000000257321450 Mill St Ste 101 �Fontana, WI 53125Language: EnglishGender: MaleNPI: 1184798829License: 3509License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 275-5890Accepts New Patients: YHospital Affiliation: N/A*

LOIS, Jeremy S.Fontana Family Dentistry Llc(262) 275-8080Prov. No.: 000012443292450 Mill St Ste 101 �Fontana, WI 53125Language: EnglishGender: MaleNPI: 1588051692License: 100127615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 275-5890Accepts New Patients: YHospital Affiliation: N/A*

MCCANN, David E.Fontana Family Dentistry Llc(262) 275-8080Prov. No.: 000000251669450 Mill St Ste 101 �Fontana, WI 53125Language: EnglishGender: MaleNPI: 1821151259License: 5477-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 275-5890Accepts New Patients: YHospital Affiliation: N/A*


Lake Geneva

BARTOSZ, Mark A.Geneva Family Dentistry(262) 248-4991Prov. No.: 000012605889851 Park Dr Ste 101 �Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1669926929License: 1001383License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 248-0397Accepts New Patients: YHospital Affiliation: N/A*

BREECHER, Edward T.Lake Geneva Dental(262) 248-2773Prov. No.: 000012498164580 Broad St �Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1164492377License: 100121315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 248-3895Accepts New Patients: YHospital Affiliation: N/A*

DILLMAN, Robert C.Geneva Family Dentistry(262) 248-4991Prov. No.: 000000053807851 Park Dr Ste 101 �Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1184798829License: 3509License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 248-0397Accepts New Patients: YHospital Affiliation: N/A*


Lake Geneva (Cont.)JOHNSON, Samantha R.Lake Geneva Dental(262) 248-2773Prov. No.: 000012884161580 Broad St �Lake Geneva, WI 53147Language: EnglishGender: FemaleNPI: 1205324688License: 1001830License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 248-3895Accepts New Patients: YHospital Affiliation: N/A*

JUDGE, Arwinder S.Aspen Dental(262) 203-8125Prov. No.: 000012973770281 North Edwards BlvdLake Geneva, WI 53147Language: EnglishGender: FemaleNPI: 1952522278License: 6326License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KENFIELD, Mark R.Racine Dental Group Sc(262) 248-1601Prov. No.: 000012263686851 Park Dr Ste 103Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1649309121License: 5002077-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Lake Geneva (Cont.)LIMBERG, Ann M.Geneva Family Dentistry(262) 248-4991Prov. No.: 000000198445851 Park Dr Ste 101 �Lake Geneva, WI 53147Language: EnglishGender: FemaleNPI: 1033283783License: 5292-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 248-0397Accepts New Patients: YHospital Affiliation: N/A*

METCALF, Christopher A.Lake Geneva Dental(262) 248-2773Prov. No.: 000012611806580 Broad St �Lake Geneva, WI 53147Language: English, SpanishGender: MaleNPI: 1598047177License: 1001503-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 248-3895Accepts New Patients: YHospital Affiliation: N/A*

MOSER, John E.Lake Geneva Dental(262) 248-2773Prov. No.: 000012749159580 Broad St �Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1861487472License: 5001640-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 248-3895Accepts New Patients: YHospital Affiliation: N/A*




Lake Geneva (Cont.)REHORST, Mark K.Racine Dental Group Sc(262) 248-1601Prov. No.: 000012477740851 Park Dr Ste 103Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1457620031License: 680715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TEHLE, Gregory S.Aspen Dental(262) 203-8125Prov. No.: 000012971570281 North Edwards BlvdLake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1720127558License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WHITE, Robert W.Geneva Family Dentistry(262) 248-4991Prov. No.: 000010401697851 Park Dr Ste 101 �Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1144234030License: 5000581-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 248-0397Accepts New Patients: YHospital Affiliation: N/A*


Lake Geneva (Cont.)ZAMBITO, Albert J.Geneva Family Dentistry(262) 248-4991Prov. No.: 000000251015851 Park Dr Ste 101 �Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1598839235License: 5474-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 248-0397Accepts New Patients: YHospital Affiliation: N/A*

Whitewater

DILLMAN, Robert C.Whitewater Family Dentistry(262) 473-3700Prov. No.: 0000004220361515 W Main St �Whitewater, WI 53190Language: EnglishGender: MaleNPI: 1184798829License: 3509License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 473-3718Accepts New Patients: YHospital Affiliation: N/A*

KRAUS, Bart J.Bart J Kraus Dds(262) 458-2828Prov. No.: 000012424654301 W Main StWhitewater, WI 53190Language: EnglishGender: MaleNPI: 1104095108License: 3486-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*


Whitewater (Cont.)LOIS, Jeremy S.Whitewater Family Dentistry(262) 473-3700Prov. No.: 0000124432951515 W Main St �Whitewater, WI 53190Language: EnglishGender: MaleNPI: 1588051692License: 100127615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 473-3718Accepts New Patients: YHospital Affiliation: N/A*

SIDDERS, Casey D.Whitewater Family Dentistry(262) 473-3700Prov. No.: 0000062992991515 W Main St �Whitewater, WI 53190Language: EnglishGender: FemaleNPI: 1063859197License: 7072License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 473-3718Accepts New Patients: YHospital Affiliation: N/A*

WASHBURN COUNTY

Birchwood

KANE, John M.Eugene D Roush Dds(715) 354-3369Prov. No.: 000000684803108 S Main StBirchwood, WI 54817Language: EnglishGender: MaleNPI: 1770653651License: 570215License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 354-7158Accepts New Patients: YHospital Affiliation: N/A*

WASHINGTON COUNTY

Germantown

CHANG, YoungchiAspen Dental(262) 677-3700Prov. No.: 000012891181W183N9609 Appleton Ave �Germantown, WI 53022Language: EnglishGender: FemaleNPI: 1164929816License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

DULDE, Ryan C.Jeffrey L Champion(262) 509-5755Prov. No.: 000012795279W188N11927 Maple Rd Ste 12Germantown, WI 53022Language: EnglishGender: MaleNPI: 1487943148License: 6896License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LUECHT, Roy E.Roy E Luecht Dds(262) 251-0205Prov. No.: 000012978747W156N11377 Pilgrim RdGermantown, WI 53022Language: EnglishGender: MaleNPI: 1699767046License: 5002043License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



WASHINGTON COUNTY (Cont.)

Germantown (Cont.)OMAR, HamzaAspen Dental(262) 677-3700Prov. No.: 000013111008W183N9609 Appleton Ave �Germantown, WI 53022Language: EnglishGender: MaleNPI: 1184095028License: 1001185-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

ONELA, Andrew S.Aspen Dental(262) 677-3700Prov. No.: 000012561505W183N9609 Appleton Ave �Germantown, WI 53022Language: EnglishGender: MaleNPI: 1376615583License: 5102-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

Hartford

DARGA, Michael E.Michael E Darga Dds(262) 673-5133Prov. No.: 00000011950957 S Main StHartford, WI 53027Language: EnglishGender: MaleNPI: 1669632790License: 3519-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 670-9278Accepts New Patients: YHospital Affiliation: N/A*


Hartford (Cont.)DOUBLEDAY, Keith J.Keith Doubleday Dds(262) 673-7611Prov. No.: 00000008488950 Lee RdHartford, WI 53027Language: EnglishGender: MaleNPI: 1093891749License: 2316-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 673-4465Accepts New Patients: YHospital Affiliation: N/A*

ELDRIDGE, TomRlj Dental(262) 673-2960Prov. No.: 00001260526173 Liberty Ave �Hartford, WI 53027Language: EnglishGender: MaleNPI: 1790053668License: 672315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 673-2387Accepts New Patients: YHospital Affiliation: N/A*

ESPINOSA, ErnestoTooth Or Gum Llc(262) 673-2288Prov. No.: 000012178730784 S Main StHartford, WI 53027Language: English, SpanishGender: MaleNPI: 1407239619License: 100115015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Hartford (Cont.)HOLLAWAY, LeahGrand Avenue Dental Care(262) 673-7826Prov. No.: 0000126184891163 Grand Ave �Hartford, WI 53027Language: EnglishGender: FemaleNPI: 1962932608License: 1001597-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MADANI, Naheed S.Grand Avenue Dental Care(262) 673-7826Prov. No.: 0000131436951163 Grand Ave �Hartford, WI 53027Language: EnglishGender: FemaleNPI: 1144712704License: 1001828License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MAHLUM, Craig E.Craig E Mahlum Dds Sc(414) 673-2960Prov. No.: 00000011300657 S Main St �Hartford, WI 53027Language: EnglishGender: MaleNPI: 1265513741License: 295915License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 670-9278Accepts New Patients: YHospital Affiliation: N/A*


Hartford (Cont.)PETTY, John A.Rlj Dental(262) 673-2960Prov. No.: 00001310993573 Liberty Ave �Hartford, WI 53027Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 673-2387Accepts New Patients: YHospital Affiliation: N/A*

SCHUMACHER, John H.John Schumacher Dds(414) 673-3450Prov. No.: 00000025954057 S Main StHartford, WI 53027Language: EnglishGender: MaleNPI: 1992963094License: 5001071License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SIEHOFF, Mariela G.Grand Avenue Dental Care(262) 673-7826Prov. No.: 0000128465221163 Grand Ave �Hartford, WI 53027Language: EnglishGender: FemaleNPI: 1033520770License: 7237License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Hartford (Cont.)WILK, Peter F.Grand Avenue Dental Care(262) 673-7826Prov. No.: 0000001284231163 Grand Ave �Hartford, WI 53027Language: EnglishGender: MaleNPI: 1689708612License: 500126315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Jackson

LABUDDE, Peter C.Town & Country Dental(262) 677-2224Prov. No.: 000000113829N168W20566 Main St �Jackson, WI 53037Language: EnglishGender: MaleNPI: 1073722724License: 2807-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MAJOR, Pako M.Jackson Family Dentistry LlcProv. No.: 000013048845N168W20060 Main StJackson, WI 53037Language: EnglishGender: MaleNPI: 1003116278License: 6616-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Kewaskum

CONNOR, James D.J D Connor Dds(262) 626-2119Prov. No.: 0000000906281204 Fond Du Lac AveKewaskum, WI 53040Language: EnglishGender: MaleNPI: 1891801957License: 50012000-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 626-2110Accepts New Patients: NHospital Affiliation: N/A*

KLASINSKI, SaraJ D Connor Dds(262) 626-2119Prov. No.: 0000122127211204 Fond Du Lac AveKewaskum, WI 53040Language: EnglishGender: FemaleNPI: 1629410006License: 708115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 626-2110Accepts New Patients: YHospital Affiliation: N/A*

ROGNESS, Nicholas M.Christopher Shumway Dds Sc(262) 644-7400Prov. No.: 0000126599271020 Fond Du Lac Ave �Kewaskum, WI 53040Language: EnglishGender: MaleNPI: 1942739818License: 1001559-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 477-1481Accepts New Patients: YHospital Affiliation: N/A*


Kewaskum (Cont.)SHUMWAY, ChristopherChristopher Shumway Dds Sc(262) 644-7400Prov. No.: 0000126064851020 Fond Du Lac Ave �Kewaskum, WI 53040Language: EnglishGender: MaleNPI: 1174623375License: 5724015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 477-1481Accepts New Patients: YHospital Affiliation: N/A*

Slinger

BANKS, DanielSwanson and AssociatesFamily Dentistry Inc(262) 644-6951Prov. No.: 000012880476410 E Washington StSlinger, WI 53086Language: EnglishGender: MaleNPI: 1043642861License: 1001770-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 644-6825Accepts New Patients: YHospital Affiliation: N/A*

CREGO JR, Donald F.Donald F Crego Jr Dds Sc(262) 644-6921Prov. No.: 000000089071340 E Washington StSlinger, WI 53086Language: EnglishGender: MaleNPI: 1174665053License: 5001403License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Slinger (Cont.)HARTLEY, Timothy E.Swanson and AssociatesFamily Dentistry Inc(262) 644-6951Prov. No.: 000000082927410 E Washington StSlinger, WI 53086Language: EnglishGender: MaleNPI: 1891858122License: 3137-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 644-6825Accepts New Patients: YHospital Affiliation: N/A*

ROGNESS, Nicholas M.Christopher Shumway Dds(262) 644-7400Prov. No.: 0000126599242020 American Eagle Drive �Slinger, WI 53086Language: EnglishGender: MaleNPI: 1942739818License: 1001559-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 644-7404Accepts New Patients: NHospital Affiliation: N/A*

SHUMWAY, ChristopherChristopher Shumway Dds(262) 644-7400Prov. No.: 0000003465852020 American Eagle Drive �Slinger, WI 53086Language: EnglishGender: MaleNPI: 1174623375License: 5724015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 644-7404Accepts New Patients: NHospital Affiliation: N/A*




Slinger (Cont.)SWANSON, Brian C.Swanson and AssociatesFamily Dentistry Inc(262) 644-6951Prov. No.: 000004139678410 E Washington StSlinger, WI 53086Language: EnglishGender: MaleNPI: 1588920573License: 6881-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 644-6825Accepts New Patients: YHospital Affiliation: N/A*

West Bend

ALBRECHT II, James A.James A Albrecht II Dds(262) 338-6622Prov. No.: 0000000800621345 Chestnut StWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1871569475License: 3717-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 306-8169Accepts New Patients: YHospital Affiliation: N/A*

BATH, Kristina M.Todays Dentistry(262) 419-9222Prov. No.: 0000127816872675 E Washington StWest Bend, WI 53095Language: EnglishGender: FemaleNPI: 1093129165License: 726115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-1818Accepts New Patients: YHospital Affiliation: N/A*


West Bend (Cont.)BELOW, Alison B.Wisconsin Dental Group(262) 346-2170Prov. No.: 0000122438161006 S Main StWest Bend, WI 53095Language: EnglishGender: FemaleNPI: 1275927170License: 1001118-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 346-2294Accepts New Patients: YHospital Affiliation: N/A*

COVELLI, William A.Todays Dentistry(262) 419-9222Prov. No.: 0000125796112675 E Washington StWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1669509972License: 500073815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-1818Accepts New Patients: YHospital Affiliation: N/A*

COX, Samantha T.Aspen Dental(262) 346-2020Prov. No.: 0000127684991721 S Main St �West Bend, WI 53095Language: EnglishGender: FemaleNPI: 1689994824License: 6562-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 334-7392Accepts New Patients: YHospital Affiliation: N/A*


West Bend (Cont.)DEMORROW, Danielle M.Todays Dentistry(262) 419-9222Prov. No.: 0000128759742675 E Washington StWest Bend, WI 53095Language: EnglishGender: FemaleNPI: 1437688132License: 1001578License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-1818Accepts New Patients: YHospital Affiliation: N/A*

DOMRES, Stephen M.Paradise Dental Professionals(262) 338-2992Prov. No.: 0000000787841625 W Paradise DrWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1710109632License: 2487-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-6032Accepts New Patients: YHospital Affiliation: N/A*

DOWDEN, EllenCornerstone Dental(262) 334-4083Prov. No.: 0000127827241713 N Main StWest Bend, WI 53090Language: EnglishGender: FemaleNPI: 1134532294License: 724215License Type: DBP DentistBoard Certified: Not ReportedEmail: cabuck2@sbcglobal. netFax: (262) 334-4996Accepts New Patients: YHospital Affiliation: N/A*


West Bend (Cont.)GOEKE, Chad M.Paradise Dental Professionals(262) 338-2992Prov. No.: 0000130411921625 W Paradise DrWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1548619265License: 100130015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-6032Accepts New Patients: YHospital Affiliation: N/A*

HAMMER, DavidParadise Dental Professionals(262) 338-2992Prov. No.: 0000002038121625 W Paradise DrWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1891916573License: 2788-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-6032Accepts New Patients: YHospital Affiliation: N/A*

HARDING, Jared J.Jared Harding(262) 334-0316Prov. No.: 0000120731361270 Chestnut StWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1265753453License: 6537-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




West Bend (Cont.)KUNICK, Joe W.Todays Dentistry(262) 419-9222Prov. No.: 0000124678152675 E Washington StWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1427076363License: 5981-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 375-1818Accepts New Patients: YHospital Affiliation: N/A*

KUSIK, BrandonParadise Dental Professionals(262) 338-2992Prov. No.: 0000130389831625 W Paradise DrWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1871022822License: 1001551-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-6032Accepts New Patients: YHospital Affiliation: N/A*

LLORCA, Dawn M.Midwest Dental(262) 334-3070Prov. No.: 0000125082431713 Vogt DrWest Bend, WI 53095Language: EnglishGender: FemaleNPI: 1851339956License: 6075License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 334-1230Accepts New Patients: YHospital Affiliation: N/A*


West Bend (Cont.)MARKHAM, Adam D.Todays Dentistry(262) 419-9222Prov. No.: 0000125411072675 E Washington StWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1780813279License: 6427015License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 375-1818Accepts New Patients: YHospital Affiliation: N/A*

MARKOVICH, DavidWest Bend Dental Center(262) 338-0022Prov. No.: 0000000785311500 S Main St �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1588730980License: 3240-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-7982Accepts New Patients: YHospital Affiliation: N/A*

MERRY, Kyle J.Timothy Merry(262) 338-1164Prov. No.: 000012116425309 N 7th Ave �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1306254784License: 100096915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-1646Accepts New Patients: NHospital Affiliation: N/A*


West Bend (Cont.)MERRY, Timothy J.Timothy Merry(262) 338-1164Prov. No.: 000012045509309 N 7th Ave �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1619054186License:License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-1646Accepts New Patients: YHospital Affiliation: N/A*

ONELA, Andrew S.Aspen Dental(262) 346-2020Prov. No.: 0000125024261721 S Main St �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1376615583License: 5102-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 334-7392Accepts New Patients: YHospital Affiliation: N/A*

RAUWERDINK, Steven L.Steven L Rauwerdink Dds(262) 334-7401Prov. No.: 0000002797311142 E Paradise Dr �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1972707701License: 3700-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 334-0158Accepts New Patients: YHospital Affiliation: N/A*


West Bend (Cont.)SCHACHT, Stephen R.Stephen Schacht(262) 334-5151Prov. No.: 0000000881941201 Oak St �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1942238274License: 500211415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 232-1455Accepts New Patients: YHospital Affiliation: N/A*

SIMONSEN, Arthur R.Oakbrook Dental Sc(262) 335-0822Prov. No.: 0000001141091201 Oak St Ste P �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1740353390License: 3652License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

SMART, DianneForward Dental(262) 346-2170Prov. No.: 0000122438031006 S Main StWest Bend, WI 53095Language: EnglishGender: FemaleNPI: 1821155060License: 5062-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 346-2294Accepts New Patients: YHospital Affiliation: N/A*




West Bend (Cont.)TELFORD, Vance R.West Bend Dental Center(262) 338-0022Prov. No.: 0000120660941500 S Main St �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1245470988License: 722315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-7982Accepts New Patients: YHospital Affiliation: N/A*

TESKE, AlisonAspen Dental(262) 346-2020Prov. No.: 0000121215331721 S Main St �West Bend, WI 53095Language: EnglishGender: FemaleNPI: 1922261734License: 006246License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 334-7392Accepts New Patients: YHospital Affiliation: N/A*

TROUDT, KristiWest Bend Dental Center(262) 338-0022Prov. No.: 0000003535091500 S Main St �West Bend, WI 53095Language: EnglishGender: FemaleNPI: 1508062571License: 6135-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-7982Accepts New Patients: YHospital Affiliation: N/A*


West Bend (Cont.)TROUDT, KristiOakbrook Dental Group(262) 335-0822Prov. No.: 0000003706381201 Oak St �West Bend, WI 53095Language: EnglishGender: FemaleNPI: 1508062571License: 6135-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WERWIE, John M.Forward Dental(262) 346-2170Prov. No.: 0000122437771006 S Main StWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1376578328License: 5001848-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 346-2294Accepts New Patients: YHospital Affiliation: N/A*

ZOCHER, Kent A.West Bend Dental Center(262) 338-0022Prov. No.: 0000000785341500 S Main St �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1073690525License: 5136-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 338-7982Accepts New Patients: YHospital Affiliation: N/A*

WAUKESHA COUNTY

Big Bend

NELSON, Nichols L.Nichols Nelson Dds(262) 662-3066Prov. No.: 000000087590W232S7590 Woodland Ln �Big Bend, WI 53103Language: EnglishGender: MaleNPI: 1992984413License: 3326License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SUWALSKI, KatharineNichols Nelson Dds(262) 662-3066Prov. No.: 000012522184W232S7590 Woodland Ln �Big Bend, WI 53103Language: EnglishGender: FemaleNPI: 1396190476License: 1001452-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Brookfield

ADL, MohamadDcp of Wisconsin BrookfeildSquare(262) 785-1402Prov. No.: 00000024160115375 W Bluemound Rd Ste150Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1083640460License: 5527-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (216) 584-1018Accepts New Patients: NHospital Affiliation: N/A*

WAUKESHA COUNTY (Cont.)

Brookfield (Cont.)AL RAWI, Zahra H.Dcp of Wisconsin BrookfeildSquare(262) 785-1402Prov. No.: 00001216642015375 W Bluemound Rd Ste150Brookfield, WI 53005Language: EnglishGender: FemaleNPI: 1316326093License: 100114815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (216) 584-1018Accepts New Patients: NHospital Affiliation: N/A*

BIEDERWOLF, Eric W.Galleria West Family Dental(262) 754-2727Prov. No.: 00001205295018900 W Bluemound Rd Ste �218Brookfield, WI 53045Language: EnglishGender: MaleNPI: 1760894729License: 726215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 789-6797Accepts New Patients: YHospital Affiliation: N/A*

BOETTCHER, Mark R.Mark R Boettcher Dds Inc(262) 754-4480Prov. No.: 00000025417816905 W Wisconsin AveBrookfield, WI 53005Language: EnglishGender: FemaleNPI: 1083826390License: 5001903-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 754-4470Accepts New Patients: YHospital Affiliation: N/A*




Brookfield (Cont.)BRILOWSKI, David G.David G Brilowski Dds(262) 782-9240Prov. No.: 00000009424917000 W North Ave Ste 104EBrookfield, WI 53005Language: EnglishGender: MaleNPI: 1093914772License: 3471-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BRUNNER, Brandon A.Elmbrook Family DentalPartners Sc(262) 784-7201Prov. No.: 000000257500125 N Executive Dr Ste 10 �5Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1801838875License: 5526015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 784-0542Accepts New Patients: YHospital Affiliation: N/A*

CHANG, YoungchiAspen Dental(262) 792-1100Prov. No.: 00001289812812455 W Capitol DrBrookfield, WI 53005Language: EnglishGender: FemaleNPI: 1164929816License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)CULVER, Paul G.Edp of Wisconsin Sc(262) 782-1655Prov. No.: 00000003337217160 W North Ave Ste 101Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1215098744License: 2961License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DIX JR, Christopher R.Christopher Dix Jr Dds(262) 784-5790Prov. No.: 00000032668617585 W North Ave Ste 100Brookfield, WI 53045Language: EnglishGender: MaleNPI: 1245326321License: 5001756License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ERCK, Carl F.Carl F Erck Dds Sc(262) 781-5667Prov. No.: 00000011160313620 W Capitol Dr �Brookfield, WI 53005Language: English, JapaneseGender: MaleNPI: 1912093857License: 3610-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 781-6163Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)FAUST, Michael J.Forward Dental(262) 373-0344Prov. No.: 00000071035115680 W Capitol Dr Ste 203Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 373-0343Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(262) 373-0344Prov. No.: 00001203292815680 W Capitol Dr Ste 203Brookfield, WI 53005Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 373-0343Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(262) 373-0344Prov. No.: 00001021296715680 W Capitol Dr Ste 203Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 373-0343Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)HASSAN, Zubair U.Aspen Dental(262) 792-1100Prov. No.: 00001257724712455 W Capitol DrBrookfield, WI 53005Language: English, SpanishGender: MaleNPI: 1942651591License: 1001370-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

HEINRICH, Gayle M.Gentle Dentistry Sc(414) 257-3103Prov. No.: 00001214815312665 W North Ave �Brookfield, WI 53005Language: EnglishGender: FemaleNPI: 1588719611License: 5002038-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 476-0037Accepts New Patients: YHospital Affiliation: N/A*

HEINRICH, Geoffrey W.Gentle Dentistry Sc(414) 257-3103Prov. No.: 00001215384512665 W North Ave �Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1720133853License: 5001176-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 476-0037Accepts New Patients: YHospital Affiliation: N/A*




Brookfield (Cont.)HERRSCHER, KathleenForward Dental(262) 373-0344Prov. No.: 00000070993215680 W Capitol Dr Ste 203Brookfield, WI 53005Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 373-0343Accepts New Patients: YHospital Affiliation: N/A*

HOFFMANN, Edward W.Edward W Hoffman Dds(262) 784-4026Prov. No.: 00000002508512720 W North Ave �Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOLUBOWICZ, RichardWisconsin Dental Group ScDba Forward Dental(262) 373-0344Prov. No.: 00000033888015680 W Capitol Dr Ste 203Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1306902713License: 3351-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 373-0343Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)JENNESS, Timothy A.Timothy A Jenness Dds(262) 781-8927Prov. No.: 0000000860714040 N Calhoun Rd �Brookfield, WI 53005Language: English, SpanishGender: MaleNPI: 1386693984License: 2314-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 781-6357Accepts New Patients: YHospital Affiliation: N/A*

KARIMUDDIN, Sahar A.Forward Dental(262) 373-0344Prov. No.: 00001221615615680 W Capitol Dr Ste 203Brookfield, WI 53005Language: EnglishGender: FemaleNPI: 1447695036License: 7048-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 373-0343Accepts New Patients: YHospital Affiliation: N/A*

KNUTSON, Gil T.Dr Gil T Knutson(262) 784-4222Prov. No.: 00000011143617585 W North Ave �Brookfield, WI 53045Language: EnglishGender: MaleNPI: 1750382719License: 235815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 784-4472Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)KOEHLER, Philip L.Healthdrive Dental Services(617) 964-6681Prov. No.: 000013052487200 S Executive Dr Ste 101Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1477642965License: 4112License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (888) 662-0859Accepts New Patients: YHospital Affiliation: N/A*

KOPICKI, Erin N.Dcp of Wisconsin BrookfeildSquare(262) 785-1402Prov. No.: 00001216652415375 W Bluemound Rd Ste150Brookfield, WI 53005Language: EnglishGender: FemaleNPI: 1871871699License: 6778-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (216) 584-1018Accepts New Patients: NHospital Affiliation: N/A*

MAY, Michelle J.Galleria West Family Dental(262) 789-1490Prov. No.: 00001276401318900 W Bluemound Rd Ste218Brookfield, WI 53045Language: EnglishGender: FemaleNPI: 1457757882License: 4960License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 789-6797Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)MCGINN, KevinElmbrook Family DentalPartners Sc(262) 784-7201Prov. No.: 000012421479125 N Executive Dr Ste 10 �5Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1326428848License: 100114115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 784-0542Accepts New Patients: YHospital Affiliation: N/A*

MEINHARDT, Adam J.Midwest Dental(262) 373-0073Prov. No.: 0000124911633930 N Brookfield Rd SteABrookfield, WI 53045Language: EnglishGender: MaleNPI: 1689011991License: 7077-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 373-0074Accepts New Patients: YHospital Affiliation: N/A*

MELBINGER-WAGNER, JulieBrookfield Dentalcare(262) 786-4119Prov. No.: 00000530076817535 W North Ave �Brookfield, WI 53045Language: EnglishGender: FemaleNPI: 1720292345License: 5517-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 786-0674Accepts New Patients: YHospital Affiliation: N/A*




Brookfield (Cont.)MILLER, Donald V.Donald V Miller Dds(262) 821-6960Prov. No.: 00000002507117100 W Bluemound Rd Ste207Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1851401764License: 3828License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

NEUSCHAEFER, William B.Elmbrook Family DentalPartners Sc(262) 784-7201Prov. No.: 000000031336125 N Executive Dr Ste 10 �5Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1013958107License: 500190215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 784-0542Accepts New Patients: YHospital Affiliation: N/A*

POST, Keith E.Keith E Post Dental Office(262) 821-4499Prov. No.: 00000008935315655 W North Ave Ste 102 �Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1306002258License: 5002086-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 821-4378Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)RESOP, BrianResop Dds and Schrubbe DdsLlc(262) 786-4119Prov. No.: 00001207493217600 W Capitol Dr �Brookfield, WI 53045Language: EnglishGender: MaleNPI: 1215197306License: 6229-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHRUBBE, Theodore G.Resop Dds and Schrubbe DdsLlc(262) 786-4119Prov. No.: 00001208220517600 W Capitol Dr �Brookfield, WI 53045Language: EnglishGender: MaleNPI: 1992978779License: 6228-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHUMACHER, John H.Thomas J Mccarthy Dds(262) 673-3450Prov. No.: 00000015946220100 W Greenfield AveBrookfield, WI 53045Language: EnglishGender: MaleNPI: 1992963094License: 5001071License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)STRUPP, Tobin J.Tobin J Strupp Dds Llc(262) 783-3311Prov. No.: 00000013447514335 W Capitol Dr Ste 4 �Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1700895950License: 357315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 783-3313Accepts New Patients: YHospital Affiliation: N/A*

SYED, Samar B.Aspen Dental(262) 792-1100Prov. No.: 00001277599612455 W Capitol DrBrookfield, WI 53005Language: EnglishGender: FemaleNPI: 1265816417License: 1001725License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

TACK, Suzanne C.Elmbrook Family DentalPartners Sc(262) 784-7201Prov. No.: 000008359977125 N Executive Dr Ste 10 �5Brookfield, WI 53005Language: EnglishGender: FemaleNPI: 1184880940License: 6252-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 784-0542Accepts New Patients: YHospital Affiliation: N/A*


Brookfield (Cont.)TAIBL, EricElmbrook Family DentalPartners Sc(262) 784-7201Prov. No.: 000005058004125 N Executive Dr Ste 10 �5Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1962632778License: 6417-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 784-0542Accepts New Patients: YHospital Affiliation: N/A*

TANG, Thomas T.Thomas T Tang Dds(262) 821-1000Prov. No.: 00000008347317185 W North AveBrookfield, WI 53005Language: EnglishGender: MaleNPI: 1386867679License: 3801License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 821-5004Accepts New Patients: YHospital Affiliation: N/A*

WEBER, Mathias J.Jm Dental Llc(262) 782-5141Prov. No.: 00000037039517585 W North Ave Ste 240 �Brookfield, WI 53045Language: EnglishGender: MaleNPI: 1912079583License: 4628-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 782-0656Accepts New Patients: YHospital Affiliation: N/A*




Butler

HEBL, Monica M.S F Donohoo(262) 790-9900Prov. No.: 00000002594712500 W Hampton AveButler, WI 53007Language: EnglishGender: FemaleNPI: 1528153913License: 3484License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Delafield

BITTAR, EyadChristopher L Potrykus Dds(262) 646-2771Prov. No.: 000012912685920 Indian Spring Dr �Delafield, WI 53018Language: EnglishGender: MaleNPI: 1164915799License: 1001850License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(262) 646-8333Prov. No.: 0000007103603210 Golf RdDelafield, WI 53018Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 646-2410Accepts New Patients: YHospital Affiliation: N/A*


Delafield (Cont.)GOMEZ, PaulaForward Dental(262) 646-8333Prov. No.: 0000120329393210 Golf RdDelafield, WI 53018Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 646-2410Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(262) 646-8333Prov. No.: 0000102153603210 Golf RdDelafield, WI 53018Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 646-2410Accepts New Patients: YHospital Affiliation: N/A*

GROSKOPF, Kelly G.Delafield Dental(262) 646-2771Prov. No.: 000013136073920 Indian Spring Dr �Delafield, WI 53018Language: EnglishGender: FemaleNPI: 1962850701License: 1001308License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 347-3230Accepts New Patients: YHospital Affiliation: N/A*


Delafield (Cont.)HERRSCHER, KathleenForward Dental(262) 646-8333Prov. No.: 0000006618793210 Golf RdDelafield, WI 53018Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 646-2410Accepts New Patients: YHospital Affiliation: N/A*

KNUTSON, Mark R.Andrew R Lulloff Dds(262) 646-2771Prov. No.: 000000112574920 Indian Spring DrDelafield, WI 53018Language: EnglishGender: MaleNPI: 1255458568License: 6886-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LALANI, Neela I.Christopher L Potrykus Dds(262) 646-2771Prov. No.: 000012830469920 Indian Spring Dr �Delafield, WI 53018Language: EnglishGender: FemaleNPI: 1811443286License: 1001469-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Delafield (Cont.)PETERS, Justin L.Wisconsin Dental Group(262) 646-8333Prov. No.: 0000129241323210 Golf RdDelafield, WI 53018Language: EnglishGender: MaleNPI: 1295221596License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 646-2410Accepts New Patients: YHospital Affiliation: N/A*

STEINER, MeganChristopher L Potrykus Dds(262) 646-2771Prov. No.: 000012727403920 Indian Spring Dr �Delafield, WI 53018Language: EnglishGender: FemaleNPI: 1174817795License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SYRJAMAKI, Stephen J.Christopher L Potrykus Dds(262) 646-2771Prov. No.: 000012977632920 Indian Spring Dr �Delafield, WI 53018Language: EnglishGender: MaleNPI: 1558624429License: 6928-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Delafield (Cont.)VISAYA, Christopher M.Wisconsin Dental Group ScDba Forward Dental(262) 646-8333Prov. No.: 0000002242563210 Golf RdDelafield, WI 53018Language: EnglishGender: MaleNPI: 1821146473License: 4929-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 646-2410Accepts New Patients: YHospital Affiliation: N/A*

Dousman

GORAL, Michael T.Dousman Family Dentistry Sc(262) 965-3662Prov. No.: 000000075038261 N Main StDousman, WI 53118Language: EnglishGender: MaleNPI: 1730208042License: 414415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHAEFFER, Dennis M.Dousman Family Dentistry Sc(262) 965-3662Prov. No.: 000000075037261 N Main StDousman, WI 53118Language: EnglishGender: MaleNPI: 1235272212License: 5001622-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Dousman (Cont.)SCHAEFFER, James W.Dousman Family Dentistry Sc(262) 965-3662Prov. No.: 000012879039261 N Main StDousman, WI 53118Language: EnglishGender: MaleNPI: 1518304591License: 706915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WHALEN, Richard V.Dousman Family Dentistry Sc(262) 965-3662Prov. No.: 000000075039261 N Main StDousman, WI 53118Language: EnglishGender: MaleNPI: 1558499236License: 5255-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Elm Grove

KRUEGER, Kyle D.Susan Meinerz Dds Llc(262) 784-7770Prov. No.: 00001282661515255 Watertown Plank Rd �Ste 100Elm Grove, WI 53122Language: EnglishGender: MaleNPI: 1093152704License: 7063-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 784-8045Accepts New Patients: YHospital Affiliation: N/A*


Elm Grove (Cont.)PARIS, David A.Susan Meinerz Dds Llc(262) 784-7770Prov. No.: 00000002794015255 Watertown Plank Rd �Ste 100Elm Grove, WI 53122Language: EnglishGender: MaleNPI: 1770622813License: 4582015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 784-8045Accepts New Patients: NHospital Affiliation: N/A*

PARIS, David A.David A Paris Dds Sc(262) 784-7770Prov. No.: 000012695656890 Elm Grove Rd Ste 106Elm Grove, WI 53122Language: EnglishGender: MaleNPI: 1770622813License: 4582015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Genesee Depot

MEINHARDT, Mark P.Mark P Meinhardt Dds(414) 968-4720Prov. No.: 000000033369S42W31330 State Road 83Genesee Depot, WI 53127Language: EnglishGender: MaleNPI: 1477710895License: 500210315License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*


Hartland

SMITH, Daniel P.Bark River Dental Group(262) 367-4255Prov. No.: 000012280910625 Walnut Ridge Dr Ste 102Hartland, WI 53029Language: EnglishGender: MaleNPI: 1972881787License: 676915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 367-4714Accepts New Patients: YHospital Affiliation: N/A*

Menomonee Falls

BERNDT, Amanda M.Forward Dental(262) 255-2727Prov. No.: 000012228113N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1659768091License: 1001080-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

BINNINGER, Matthew S.Forward Dental(262) 255-2727Prov. No.: 000000662304N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1093917957License: 5623-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*




Menomonee Falls (Cont.)BOYER, Scott T.Falls Dental Associates(262) 253-9797Prov. No.: 000012647892N85W16093 Appleton Ave �Menomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1942739610License: 1001575-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 253-4895Accepts New Patients: YHospital Affiliation: N/A*

BROOKES, Edwin S.Falls Dental Associates(262) 253-9797Prov. No.: 000012217653N85W16093 Appleton Ave �Menomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1629097662License: 100116915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 253-4895Accepts New Patients: YHospital Affiliation: N/A*

BROPHY, James E.Forward Dental(262) 255-2727Prov. No.: 000000661751N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1932265675License: 4406-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)CARRANZA, Kathleen M.Falls Dental Group(262) 251-6070Prov. No.: 000011551406N88W17001 Main StMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1679863153License: 6702-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CHO, James K.Falls Detnal Associates(262) 253-9797Prov. No.: 000012177616N85W16093 Appleton Ave �Menomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1275730764License: 100099815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 253-4895Accepts New Patients: YHospital Affiliation: N/A*

CLIFFORD, Amanda M.Falls Dental Associates Sc(262) 253-9797Prov. No.: 000012694030N85W16093 Appleton AveMenomonee Falls, WI 53051Language: English, SpanishGender: FemaleNPI: 1811281991License: 6755-15License Type: DBP DentistBoard Certified: NEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)FAUST, Michael J.Forward Dental(262) 255-2727Prov. No.: 000000710372N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

FORCIOLI, Laurent J.Falls Dental Associates Sc(262) 253-9797Prov. No.: 000012918844N85W16093 Appleton AveMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1083146823License: 1001545-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 253-4895Accepts New Patients: YHospital Affiliation: N/A*

GIMENEZ, Sheila T.Falls Dental Associates Sc(262) 253-9797Prov. No.: 000000268048N85W16093 Appleton AveMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1497812945License: 5509015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)GOMEZ, PaulaForward Dental(262) 255-2727Prov. No.: 000012032953N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(262) 255-2727Prov. No.: 000000697755N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

HANO, NoelleWerner Richheimer Dds(262) 255-4343Prov. No.: 000000033328N80W14832 Appleton Ave �Menomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1982728523License: 4433-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 255-1968Accepts New Patients: YHospital Affiliation: N/A*




Menomonee Falls (Cont.)HERRSCHER, KathleenWisconsin Dental Group ScDba Forward Dental(262) 255-2727Prov. No.: 000000364417N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

HITZEMAN, Teresa M.Forward Dental(262) 255-2727Prov. No.: 000000661139N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1659400075License: 4192-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

JUNG, EdmundForward Dental(262) 255-2727Prov. No.: 000000661616N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1053478115License: 1687-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)KING, Brian M.Falls Dental Associates(262) 253-9797Prov. No.: 000000078356N85W16093 Appleton Ave �Menomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1750448296License: 5258License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 253-4895Accepts New Patients: YHospital Affiliation: N/A*

KOWALSKI, Andrew J.Kowalski Dental Office Sc(414) 461-3580Prov. No.: 000012797869N48W14666 Hampton RdMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1659727071License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected] mFax: (862) 781-5606Accepts New Patients: YHospital Affiliation: N/A*

KOWALSKI, Kenneth J.Kowalski Dental Office Sc(262) 781-5600Prov. No.: 000000083940N48W14666 Hampton RdMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1962518050License: 3532License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (862) 781-5606Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)KUFFEL, JosephForward Dental(262) 255-2727Prov. No.: 000000662275N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1699909762License: 6353-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

LEVANDOSKI, Daniel J.Werner Richheimer Dds(262) 255-4343Prov. No.: 000000033330N80W14832 Appleton Ave �Menomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1407988827License: 4187License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 255-1968Accepts New Patients: YHospital Affiliation: N/A*

LUDKE, JamesForward Dental(262) 255-2727Prov. No.: 000000661053N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1316003924License: 3526-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)MATHIAS, EugeneForward Dental(262) 255-2727Prov. No.: 000000670998N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1417014143License: 2658-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

NIEDZIELA, Jeffrey S.Forward Dental(262) 255-2727Prov. No.: 000000671005N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1164436614License: 6008-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

PAGENKOPF, Jon J.Forward Dental(262) 255-2727Prov. No.: 000000661988N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1184772709License: 5002138-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*




Menomonee Falls (Cont.)REMSHAK, KonstancaFalls Dental Associates(262) 253-9797Prov. No.: 000000034853N85W16093 Appleton Ave �Menomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1316097470License: 4539License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 253-4895Accepts New Patients: YHospital Affiliation: N/A*

ROMANSKI, JeffreyForward Dental(262) 255-2727Prov. No.: 000000671013N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1710044243License: 5002023-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

RUZICKA, James F.Forward Dental(262) 255-2727Prov. No.: 000000662058N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1356493001License: 2840-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)SCHMIDT, Ronald J.Ronald J Schmidt Dds Sc(262) 251-2222Prov. No.: 000000054851N89W15680 Main StMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1740314087License: 3301-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 251-4275Accepts New Patients: YHospital Affiliation: N/A*

SCHMIDT, Zachary J.Falls Dental Associates Sc(262) 253-9797Prov. No.: 000012265027N85W16093 Appleton AveMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1992862437License: 566415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SIMONOVICH, Jacob R.Falls Dental Associates(262) 253-9797Prov. No.: 000012649113N85W16093 Appleton Ave �Menomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1639532955License: 1001324-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 253-4895Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)SMART, DianneForward Dental(262) 255-2727Prov. No.: 000000662064N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1821155060License: 5062-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Andrew W.Falls Dental Assoc Sc(262) 253-9797Prov. No.: 000012928346N85W16093 Appleton AveMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1265662753License: 6401-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 253-4895Accepts New Patients: YHospital Affiliation: N/A*

STOECKL JR, Clemens K.Forward Dental(262) 255-2727Prov. No.: 000012649476N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1639297476License: 500119515License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)TANTY, TimothyForward Dental(262) 255-2727Prov. No.: 000000251150N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1679630081License: 5881-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

TUBIC, SusanForward Dental(262) 255-2727Prov. No.: 000000661119N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1366509788License: 4634-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

VISAYA, Christopher M.Forward Dental(262) 255-2727Prov. No.: 000000661982N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1821146473License: 4929-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*




Menomonee Falls (Cont.)WALKER, LaurieForward Dental(262) 255-2727Prov. No.: 000000662097N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1366509697License: 4479-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

WALLER, Daniel J.Wisconsin Dental Group(262) 255-2727Prov. No.: 000012924137N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1821593807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

WANEZEK, MarkForward Dental(262) 255-2727Prov. No.: 000000662099N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1205992815License: 3434-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)WAPOTISH, Ronald B.Forward Dental(262) 255-2727Prov. No.: 000000670608N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1801093927License: 6094-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

WERWIE, John M.Forward Dental(262) 255-2727Prov. No.: 000000661152N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1376578328License: 5001848-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

ZALL, Eric S.Falls Dental Associates Sc(262) 253-9797Prov. No.: 000012693784N85W16093 Appleton AveMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1225187362License: 4256License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Merton

MEINERZ, Maxwell B.Clifford C Sprung Dds(262) 538-0892Prov. No.: 00001297355128550 W Sussex RdMerton, WI 53056Language: EnglishGender: MaleNPI: 1639411283License: 706715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 538-2695Accepts New Patients: YHospital Affiliation: N/A*

SPRUNG, Clifford C.Clifford C Sprung Dds(262) 538-0892Prov. No.: 00000003337028550 W Sussex RdMerton, WI 53056Language: EnglishGender: MaleNPI: 1134181399License: 301815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 538-2695Accepts New Patients: YHospital Affiliation: N/A*

Mukwonago

DULDE, Ryan C.Wisconsin Dental Group Sc(262) 363-220Prov. No.: 000012999297214 S Rochester StMukwonago, WI 53149Language: EnglishGender: MaleNPI: 1487943148License: 6896License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 363-2221Accepts New Patients: YHospital Affiliation: N/A*


Mukwonago (Cont.)GOMEZ, PaulaWisconsin Dental Group ScDba Forward Dental(262) 363-2220Prov. No.: 000012592097214 S Rochester StMukwonago, WI 53149Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 363-2221Accepts New Patients: YHospital Affiliation: N/A*

LUDKE, JamesWisconsin Dental Group ScDba Forward Dental(262) 363-2220Prov. No.: 000012592063214 S Rochester StMukwonago, WI 53149Language: EnglishGender: MaleNPI: 1316003924License: 3526-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 363-2221Accepts New Patients: YHospital Affiliation: N/A*

LUDKE, JamesForward Dental Pc(262) 363-2220Prov. No.: 000012755440720 N Rochester St Ste 203Mukwonago, WI 53149Language: EnglishGender: MaleNPI: 1316003924License: 3526-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Mukwonago (Cont.)MATHIAS, EugeneForward Dental(262) 363-2220Prov. No.: 000012608085214 S Rochester StMukwonago, WI 53149Language: EnglishGender: MaleNPI: 1417014143License: 2658-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 363-2221Accepts New Patients: YHospital Affiliation: N/A*

PAGENKOPF, Jon J.Forward Dental(262) 363-2220Prov. No.: 000012608062214 S Rochester StMukwonago, WI 53149Language: EnglishGender: MaleNPI: 1184772709License: 5002138-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 363-2221Accepts New Patients: YHospital Affiliation: N/A*

WERWIE, John M.Forward Dental(262) 363-2220Prov. No.: 000012592216214 S Rochester StMukwonago, WI 53149Language: EnglishGender: MaleNPI: 1376578328License: 5001848-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 363-2221Accepts New Patients: YHospital Affiliation: N/A*


Muskego

BAKER, EmilySandoval Dental Care(414) 425-9393Prov. No.: 000013065017S63W13660 Janesville Rd �Muskego, WI 53150Language: EnglishGender: Not ReportedNPI:License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (414) 425-7065Accepts New Patients: YHospital Affiliation: N/A*

CHAMBERS, Robert L.Robert L Chambers Dds Sc(262) 679-2000Prov. No.: 000000131841S76W17619 Janesville Rd # �486Muskego, WI 53150Language: EnglishGender: MaleNPI: 1669505699License: 5001367-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 679-2090Accepts New Patients: YHospital Affiliation: N/A*

CONROY, Kathleen E.Sandoval Dental Care(414) 425-9393Prov. No.: 000012823498S63W13660 Janesville Rd �Muskego, WI 53150Language: EnglishGender: FemaleNPI: 1265681308License: 6142-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 425-7065Accepts New Patients: YHospital Affiliation: N/A*


Muskego (Cont.)HOFMEISTER, David A.Wisconsin Dental Group ScDba Forward Dental(262) 465-4232Prov. No.: 000012226449S76W18035 Janesville RdMuskego, WI 53150Language: EnglishGender: MaleNPI: 1922115328License: 5001507-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 465-4562Accepts New Patients: YHospital Affiliation: N/A*

LENZ GALBREATH, Kristin M.Family Dental Care ofMuskego(414) 422-9660Prov. No.: 000012480953S69W15466 Janesville RdMuskego, WI 53150Language: EnglishGender: FemaleNPI: 1760740047License: 6983-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 422-9663Accepts New Patients: NHospital Affiliation: N/A*

LUNDIN, ChristinaSandoval Dental Care(414) 425-9393Prov. No.: 000013064853S63W13660 Janesville Rd �Muskego, WI 53150Language: EnglishGender: Not ReportedNPI:License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (414) 425-7065Accepts New Patients: YHospital Affiliation: N/A*


Muskego (Cont.)MASTERS, Joshua H.Family Dental Care ofMuskego(414) 422-9660Prov. No.: 000012482486S69W15466 Janesville RdMuskego, WI 53150Language: EnglishGender: MaleNPI: 1750738399License: 1001374-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 422-9663Accepts New Patients: YHospital Affiliation: N/A*

MINARD, Elizabeth K.Sandoval Dental Care(414) 425-9393Prov. No.: 000012798997S63W13660 Janesville Rd �Muskego, WI 53150Language: EnglishGender: FemaleNPI: 1396157129License: 7245License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 425-7065Accepts New Patients: YHospital Affiliation: N/A*

PARK, Joon-JaeMichael A Sandoval Dds(414) 425-9393Prov. No.: 000012495626S63W13660 Janesville RdMuskego, WI 53150Language: English, KoreanGender: MaleNPI: 1568817559License: 100139015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Muskego (Cont.)PLECAS, DaliborFamily Dental Care ofMuskego(414) 422-9660Prov. No.: 000012902441S69W15466 Janesville RdMuskego, WI 53150Language: EnglishGender: MaleNPI: 1871941708License: 1001529License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 422-9663Accepts New Patients: YHospital Affiliation: N/A*

SANDOVAL, Michael A.Michael Sandoval(414) 425-9393Prov. No.: 000000006026S63W13660 Janesville Rd �Muskego, WI 53150Language: EnglishGender: MaleNPI: 1700052636License: 3317License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 425-7065Accepts New Patients: YHospital Affiliation: N/A*

New Berlin

BAUER, Christian W.Wisconsin Dental Group ScDba Forward Dental(262) 641-0056Prov. No.: 00000032614115100 Library LnNew Berlin, WI 53151Language: EnglishGender: MaleNPI: 1447317599License: 5158-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*


New Berlin (Cont.)BINNINGER, Matthew S.Wisconsin Dental Group ScDba Forward Dental(262) 641-0056Prov. No.: 00000036432515100 Library LnNew Berlin, WI 53151Language: EnglishGender: MaleNPI: 1093917957License: 5623-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*

BROPHY, James E.Forward Dental(262) 641-0056Prov. No.: 00000032622015100 Library LnNew Berlin, WI 53151Language: EnglishGender: MaleNPI: 1932265675License: 4406-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*

CHAHIL, JasjotWisconsin Dental Group Sc(414) 541-3434Prov. No.: 00001309725715100 Library LnNew Berlin, WI 53151Language: EnglishGender: MaleNPI: 1063910164License: 1001743License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*


New Berlin (Cont.)CLIFFORD, Amanda M.Applewhite Dental Wi Sc(262) 784-2449Prov. No.: 0000125097814010 S Church DrNew Berlin, WI 53151Language: English, SpanishGender: FemaleNPI: 1811281991License: 6755-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(262) 641-0056Prov. No.: 00000071035015100 Library LnNew Berlin, WI 53151Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(262) 641-0056Prov. No.: 00001203292715100 Library LnNew Berlin, WI 53151Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*


New Berlin (Cont.)GONZALEZ, Cesar D.Forward Dental(262) 641-0056Prov. No.: 00001012039915100 Library LnNew Berlin, WI 53151Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*

GRUCHALSKI, Jon R.Jon Gruchalski(262) 505-1000Prov. No.: 0000120390203333 S Sunnyslope Rd Ste100New Berlin, WI 53151Language: EnglishGender: MaleNPI: 1083873004License: 397815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HERRSCHER, KathleenForward Dental(262) 641-0056Prov. No.: 00000066241415100 Library LnNew Berlin, WI 53151Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*




New Berlin (Cont.)MACKEY, BridgetWisconsin Dental Group Sc(414) 541-3434Prov. No.: 00000033418415100 Library LnNew Berlin, WI 53151Language: EnglishGender: FemaleNPI: 1932266095License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*

ROBE, Ralph S.Robe Dental/ Ralph S RobeDds(262) 796-9900Prov. No.: 00000505954813700 W National Ave Ste �209New Berlin, WI 53151Language: EnglishGender: MaleNPI: 1104878479License: 26360-15License Type: DBP DentistBoard Certified: NEmail:Fax: (272) 796-5102Accepts New Patients: YHospital Affiliation: N/A*

SABEL, NicholasNick Sabel(262) 784-2110Prov. No.: 00001246800715738 W National AveNew Berlin, WI 53151Language: EnglishGender: MaleNPI: 1639354954License: 636215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


New Berlin (Cont.)WRUCK, Larry D.Larry D Wruck Dds(262) 782-4220Prov. No.: 00000032202015855 W National Ave �New Berlin, WI 53151Language: EnglishGender: MaleNPI: 1760533459License: 5001632License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 782-5471Accepts New Patients: YHospital Affiliation: N/A*

YUENKEL, James E.James E Yuenkel Dds(262) 784-2854Prov. No.: 00000009274513923 W Greenfield AveNew Berlin, WI 53151Language: EnglishGender: MaleNPI: 1285794073License: 5002027-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (262) 955-6560Accepts New Patients: YHospital Affiliation: N/A*

Oconomowoc

COTEY, Judie V.Lake Country Dentistry Llc(262) 567-6003Prov. No.: 000000139926888 Thackeray Trl Ste 215 �Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1932267622License: 477415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 567-6003Accepts New Patients: YHospital Affiliation: N/A*


Oconomowoc (Cont.)DAVIDOVICH, Kenzie G.Williamson Family Dentist(262) 567-7400Prov. No.: 000012496796970 S Silver Lake St Ste �101Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1164803631License: 100111615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 567-7190Accepts New Patients: YHospital Affiliation: N/A*

DULDE, Ryan C.Kevin Tanty(262) 567-7231Prov. No.: 000012077944784 Summit AveOconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1487943148License: 6896License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(262) 244-0288Prov. No.: 0000007103551320 Pabst Farms Cir Unit190Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*


Oconomowoc (Cont.)GOMEZ, PaulaForward Dental(262) 244-0288Prov. No.: 0000120329331320 Pabst Farms Cir Unit190Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(262) 244-0288Prov. No.: 0000069624911320 Pabst Farms Cir Unit190Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*

HAREID, Kate L.Lake Country Dentistry Llc(262) 567-6003Prov. No.: 000012434451888 Thackeray Trl Ste 215 �Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1972751923License: 1001270License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 567-6003Accepts New Patients: YHospital Affiliation: N/A*




Oconomowoc (Cont.)HERRSCHER, KathleenForward Dental(262) 244-0288Prov. No.: 0000006614391320 Pabst Farms Cir Unit190Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*

HOLSEN, Charles T.Charles T Holsen Dds(262) 567-1231Prov. No.: 000000096536406 E Summit AveOconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1881703965License: 333415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 569-8519Accepts New Patients: NHospital Affiliation: N/A*

HUGGETT, Nicole L.Huggett Dental Sc(262) 567-8991Prov. No.: 000012075040888 Thackeray Trl Ste 208Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1073766085License: 6309-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 567-8902Accepts New Patients: YHospital Affiliation: N/A*


Oconomowoc (Cont.)JOHNSON STOECKL, NatalieStoeckl Dentistry(262) 567-5600Prov. No.: 000000291606W359N5002 Brown St Ste 21 �0Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1255300398License: 5413015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 567-5566Accepts New Patients: YHospital Affiliation: N/A*

LEAMAN, James S.Leaman; Setnicar & Piacsek(262) 567-4466Prov. No.: 000000080849820 Summit Ave �Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1306970264License: 5002078-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 567-5957Accepts New Patients: YHospital Affiliation: N/A*

LEHMAN, Allison M.Summit Dental Excellence(262) 567-0470Prov. No.: 000006962152850 Summit Ave Stop 1 �Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1194086488License: 6890-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 567-0957Accepts New Patients: NHospital Affiliation: N/A*


Oconomowoc (Cont.)LEHMAN, Matthew L.Summit Dental Excellence(262) 567-0470Prov. No.: 000000096986850 Summit Ave Stop 1 �Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1417079690License: 3046-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 567-0957Accepts New Patients: YHospital Affiliation: N/A*

LONGE, William G.William G Longe Dds(262) 567-8991Prov. No.: 000000131177888 Thackeray Trl Ste 215Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1013136381License: 2717-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LONGE, William G.William G Longe(262) 567-8991Prov. No.: 000012737217888 Thackeray Trl Ste 208Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1013136381License: 2717-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oconomowoc (Cont.)PIACSEK, Stacie A.Leaman; Setnicar & Piacsek(262) 567-4466Prov. No.: 000000080850820 Summit Ave �Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1366576159License: 4607-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 567-5957Accepts New Patients: YHospital Affiliation: N/A*

RAMOS, MariaAlison Teske Dds(262) 244-0288Prov. No.: 000012701582175 E Wisconsin Ave Stop4Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1205908480License: 3695-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*

RAZDOLSKY, Richard M.Wisconsin Dental Group Sc(262) 244-0288Prov. No.: 0000130451031320 Pabst Farms Cir Unit190Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1154812881License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*




Oconomowoc (Cont.)SETNICAR, Joseph M.Leaman; Setnicar & Piacsek(262) 567-4466Prov. No.: 000000205589820 Summit Ave �Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1093849804License: 2721-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 567-5957Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Cristine M.Lake Country Dentistry Llc(262) 567-6003Prov. No.: 000012064717888 Thackeray Trl Ste 215 �Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1578692166License: 646115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 567-6003Accepts New Patients: YHospital Affiliation: N/A*

STAMAS, Tom A.Tom A Stamas(262) 567-8386Prov. No.: 0000003480571020 Oconomowoc PkwyOconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1548565799License: 3954License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oconomowoc (Cont.)STOECKL, Christopher J.Stoeckl Dentistry(262) 567-5600Prov. No.: 000000277819W359N5002 Brown St Ste 21 �0Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1841361904License: 5237-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 567-5566Accepts New Patients: YHospital Affiliation: N/A*

VISAYA, Christopher M.Forward Dental(262) 244-0288Prov. No.: 0000004669201320 Pabst Farms Cir Unit190Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1821146473License: 4929-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*

WALLER, Daniel J.Wisconsin Dental Group(262) 244-0288Prov. No.: 0000129241361320 Pabst Farms Cir Unit190Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1821593807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*


Oconomowoc (Cont.)WILLIAMSON, Timothy G.Williamson Family Dentist(262) 567-7400Prov. No.: 000000035406970 S Silver Lake St Ste �101Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1124076658License: 4704-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 567-7190Accepts New Patients: YHospital Affiliation: N/A*

YAKOWICZ, Ryan J.Kevin Tanty(262) 567-7231Prov. No.: 000012769020784 Summit AveOconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1780992040License: 6606License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Okauchee

KUSIK, Clarence E.Dr Clarence Kusik(262) 567-3171Prov. No.: 000000025209N50W34838 Wisconsin AveOkauchee, WI 53069Language: EnglishGender: MaleNPI: 1245407550License: 0432015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Pewaukee

AL RAWI, Zahra H.Dentalworks(262) 691-4140Prov. No.: 0000121702431300 Capitol Dr Ste APewaukee, WI 53072Language: EnglishGender: FemaleNPI: 1316326093License: 100114815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 691-4236Accepts New Patients: YHospital Affiliation: N/A*

DONGRE, Stuart N.Midwest Dental(262) 548-0770Prov. No.: 0000127469842305 Silvernail RdPewaukee, WI 53072Language: EnglishGender: MaleNPI: 1124573068License: 100141915License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 548-0568Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(262) 691-3931Prov. No.: 000012032925135 Capitol DrPewaukee, WI 53072Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 691-3938Accepts New Patients: YHospital Affiliation: N/A*




Pewaukee (Cont.)GONZALEZ, Cesar D.Forward Dental(262) 691-3931Prov. No.: 000009755929135 Capitol DrPewaukee, WI 53072Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 691-3938Accepts New Patients: YHospital Affiliation: N/A*

HARUNANI, Mohamed F.Midwest Dental(262) 548-0770Prov. No.: 0000121033622305 Silvernail RdPewaukee, WI 53072Language: EnglishGender: MaleNPI: 1720205560License: 581615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 548-0568Accepts New Patients: YHospital Affiliation: N/A*

HOLUBOWICZ, RichardForward Dental(262) 691-3931Prov. No.: 000000337821135 Capitol DrPewaukee, WI 53072Language: EnglishGender: MaleNPI: 1306902713License: 3351-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 691-3938Accepts New Patients: YHospital Affiliation: N/A*


Pewaukee (Cont.)OSTRAND, Gina F.Gina F Ostrand Dds FamilyDentistry Llc(262) 695-8600Prov. No.: 000000685255617 Ryan St �Pewaukee, WI 53072Language: EnglishGender: FemaleNPI: 1740368737License: 444715License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RAZDOLSKY, Richard M.Wisconsin Dental Group(262) 691-3931Prov. No.: 000012940281135 Capitol DrPewaukee, WI 53072Language: EnglishGender: MaleNPI: 1154812881License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 691-3938Accepts New Patients: YHospital Affiliation: N/A*

SMART, DianneForward Dental(262) 691-3931Prov. No.: 000000157175135 Capitol DrPewaukee, WI 53072Language: EnglishGender: FemaleNPI: 1821155060License: 5062-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 691-3938Accepts New Patients: YHospital Affiliation: N/A*


Pewaukee (Cont.)STOCKINGER, John P.John P Stockinger Dds(262) 691-3193Prov. No.: 000000080042131 E Wisconsin AvePewaukee, WI 53072Language: EnglishGender: MaleNPI: 1487697579License: 2749License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 691-3193Accepts New Patients: YHospital Affiliation: N/A*

WALLER, Daniel J.Wisconsin Dental Group(262) 691-3931Prov. No.: 000012924135135 Capitol DrPewaukee, WI 53072Language: EnglishGender: MaleNPI: 1821593807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 691-3938Accepts New Patients: YHospital Affiliation: N/A*

ZELKO, Mark R.Midwest Dental(262) 548-0770Prov. No.: 0000121592962305 Silvernail RdPewaukee, WI 53072Language: EnglishGender: MaleNPI: 1144603671License: 1001162License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 548-0568Accepts New Patients: YHospital Affiliation: N/A*


Sussex

KELLNER, James C.Vezzetti Family Dental Care(262) 820-3330Prov. No.: 000013033718W248N5233 Executive Dr St �E 100Sussex, WI 53089Language: EnglishGender: MaleNPI: 1609130319License: 6945License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 820-3325Accepts New Patients: YHospital Affiliation: N/A*

MAGNUSSON, John C.John C Magnusson Dds(262) 246-6486Prov. No.: 000000005865N63W23524 Silver Spring DRSussex, WI 53089Language: EnglishGender: MaleNPI: 1467530477License: 2354License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 246-6791Accepts New Patients: YHospital Affiliation: N/A*

MARTIN, Sarah A.Blue Tooth Dental Llc(262) 932-4190Prov. No.: 000012657371N63W23231 Main St Unit 20 �0Sussex, WI 53089Language: EnglishGender: FemaleNPI: 1780664649License: 5920-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 932-4194Accepts New Patients: YHospital Affiliation: N/A*




Sussex (Cont.)PARK, Joon-JaeSussex Family Dental Llc(243) 660-4062Prov. No.: 000013017686W249N5245 Executive Dr StE 206Sussex, WI 53089Language: English, KoreanGender: MaleNPI: 1568817559License: 100139015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

REHMAN, Syed S.Sussex Family Dental Llc(243) 660-4062Prov. No.: 000012992160W249N5245 Executive Dr StE 206Sussex, WI 53089Language: English, Hindi,Spanish, UrduGender: MaleNPI: 1316321722License: 100119115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Cristine M.Vezzetti Family Dental Care(262) 820-3330Prov. No.: 000012585267W248N5233 Executive Dr St �E 100Sussex, WI 53089Language: EnglishGender: FemaleNPI: 1578692166License: 646115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 820-3325Accepts New Patients: NHospital Affiliation: N/A*


Sussex (Cont.)VEZZETTI, Mary B.Vezzetti Family Dental Care(262) 820-3330Prov. No.: 000002017810W248N5233 Executive Dr St �E 100Sussex, WI 53089Language: EnglishGender: FemaleNPI: 1306095922License: 504215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 820-3325Accepts New Patients: YHospital Affiliation: N/A*

Waukesha

ABBAS, KomailDental Assocaites(262) 436-3363Prov. No.: 0000132553011211 Dolphin CtWaukesha, WI 53186Language: English, UrduGender: MaleNPI: 1114206109License: 1002048License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

ARIZA, RichardDental Assocaites(262) 436-3363Prov. No.: 0000129890331211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1902309685License: 1001944-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)BARSAMIAN, Tarkis B.Tarkis B Barsamian Dds(262) 544-1100Prov. No.: 000000087397161 W Sunset DrWaukesha, WI 53189Language: EnglishGender: MaleNPI: 1063564755License: 3136License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BASS, Jamie L.Wisconsin Dental Group Sc(414) 541-3434Prov. No.: 000012927592W231N1440 County Road F STe 211Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1700014354License: 7030License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BIEDERWOLF, Eric W.Brett Skarr Dds(262) 542-4827Prov. No.: 000012238615713 W Moreland Blvd �Waukesha, WI 53188Language: EnglishGender: MaleNPI: 1760894729License: 726215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 542-9378Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)BROPHY, James E.Wisconsin Dental Group ScDba Forward Dental(262) 549-5011Prov. No.: 0000000760371717 Paramount DrWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1932265675License: 4406-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*

BROWN, NatalieDental Assocaites(262) 436-3363Prov. No.: 0000130368521211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1053896969License: 1001943License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

BURNS, Nathaniel H.Brett C Skarr Dds(262) 542-4827Prov. No.: 000012855413713 W Moreland Blvd �Waukesha, WI 53188Language: EnglishGender: MaleNPI: 1659808822License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (262) 542-9378Accepts New Patients: YHospital Affiliation: N/A*




Waukesha (Cont.)CHEN, XiaoqiDental Assocaites(262) 436-3363Prov. No.: 0000130276801211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1053801944License: 1001911License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

CONNOR, Kathryn C.Proven Dental Llc(262) 650-3000Prov. No.: 0000121497731700 Coral Dr �Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1760610992License: 679815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DE LEON ANDRINO, Morris J.Morris De LeonProv. No.: 0000126424992727 N Grandview Blvd Ste206Waukesha, WI 53188Language: English, SpanishGender: MaleNPI: 1164713806License: 716515License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)DESAI, SajanDental Assocaites(262) 436-3363Prov. No.: 0000129540261211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1447743455License: 1001920License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

EBENHOCH, Cynthia L.Tanty Family Dental(262) 542-8382Prov. No.: 000012755541W249S3642 Center RdWaukesha, WI 53189Language: EnglishGender: FemaleNPI: 1407824998License: 580715License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 542-9602Accepts New Patients: YHospital Affiliation: N/A*

FAUST, Michael J.Forward Dental(262) 549-5011Prov. No.: 0000007103531717 Paramount DrWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)FAUST, Michael J.Forward Dental(262) 542-8880Prov. No.: 000000710373W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1518297357License: 3393-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-9225Accepts New Patients: YHospital Affiliation: N/A*

FAWSON III, Paul C.Wisconsin Dental Group ScDba Forward Dental(262) 542-8880Prov. No.: 000012649465W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1003108820License: 1001667-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-9225Accepts New Patients: YHospital Affiliation: N/A*

FORCIOLI, Laurent J.Dental Assocaites(262) 436-3363Prov. No.: 0000128474851211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1083146823License: 1001545-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)GOMEZ, PaulaForward Dental(262) 549-5011Prov. No.: 0000120329301717 Paramount DrWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, PaulaForward Dental(262) 542-8880Prov. No.: 000012032954W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1952724320License: 7201-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-9225Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Cesar D.Forward Dental(262) 549-5011Prov. No.: 0000102133971717 Paramount DrWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*




Waukesha (Cont.)GONZALEZ, Cesar D.Forward Dental(262) 542-8880Prov. No.: 000010402915W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1023005972License: 5374-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 542-9225Accepts New Patients: YHospital Affiliation: N/A*

HARUNANI, Dawood F.Midwest Dental-Waukesha(262) 798-8870Prov. No.: 00000037194021675 E Moreland Blvd Ste100Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1760511125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HERRSCHER, KathleenForward Dental(262) 542-8880Prov. No.: 000000670918W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-9225Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)HERRSCHER, KathleenForward Dental(262) 549-5011Prov. No.: 0000006775431717 Paramount DrWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1154487551License: 4750-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*

HUGHES, Kevin F.Doctors Denture Systems(262) 542-6170Prov. No.: 000000036445601 N Grand Ave �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1346408903License: 392215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-6194Accepts New Patients: YHospital Affiliation: N/A*

HURLEY, Amanda L.Dental Assocaites(262) 436-3363Prov. No.: 0000126364281211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1215466826License: 1001593-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)HUSSAIN, SadafDental Assocaites(262) 436-3363Prov. No.: 0000129271111211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1679095061License: 1001713-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

JAHIMIAK, Joel M.Complete Family Dentistry Llc(262) 549-6850Prov. No.: 000000248278419 E Broadway �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1689823379License: 585115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 549-2157Accepts New Patients: YHospital Affiliation: N/A*

JAHIMIAK, Karen M.Complete Family Dentistry Llc(262) 549-6850Prov. No.: 000000150926419 E Broadway �Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1063792216License: 3689License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 549-2157Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)KENNEDY, Susan B.Dental Assocaites(262) 436-3363Prov. No.: 0000126298361211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1235669417License: 1001583-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

KIM, SoheeAspen Dental(262) 524-9000Prov. No.: 0000126162722320 E Moreland Blvd Ste �AWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1316467517License: 1001610-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

KNEEPKENS, Mark J.Doctors Denture Systems(262) 542-6170Prov. No.: 000000036443601 N Grand Ave �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1356539845License: 2614License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-6194Accepts New Patients: YHospital Affiliation: N/A*




Waukesha (Cont.)KWOK, FionaForward Dental(262) 542-8880Prov. No.: 000012649466W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1376069690License: 1001642-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-9225Accepts New Patients: YHospital Affiliation: N/A*

LOCH, Kendra S.Complete Family Dentistry Llc(262) 549-6850Prov. No.: 000012632218419 E Broadway �Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1083143218License: 1001570-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 549-2157Accepts New Patients: YHospital Affiliation: N/A*

LUDKE, JamesForward Dental(262) 549-5011Prov. No.: 0000001957041717 Paramount DrWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1316003924License: 3526-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)MANOS, MarcDental Assocaites(262) 436-3363Prov. No.: 0000129395671211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1851772701License: 1001106License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

MANSOUR, Mohammed A.Dental Assocaites(262) 436-3363Prov. No.: 0000126049031211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1932634425License: 1001519-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

MIYAMOTO, Courtney R.Dental Assocaites(262) 436-3363Prov. No.: 0000130684811211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1891271987License: 1001957License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)MURPHY, James F.Proven Dental Llc(262) 650-3000Prov. No.: 0000120487711700 Coral Dr �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1669591780License: 4761-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MURRAR, InasDental Assocaites(262) 436-3363Prov. No.: 0000125889271211 Dolphin CtWaukesha, WI 53186Language: Arabic, EnglishGender: FemaleNPI: 1699192252License: 7240-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

OH, HyunDental Assocaites(262) 436-3363Prov. No.: 0000128698841211 Dolphin CtWaukesha, WI 53186Language: English, KoreanGender: MaleNPI: 1457616385License: 7187-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)OMAR, HamzaForward Dental(262) 542-8880Prov. No.: 000012483890W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1184095028License: 1001185-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-9225Accepts New Patients: YHospital Affiliation: N/A*

ONELA, Andrew S.Aspen Dental(262) 524-9000Prov. No.: 0000125322862320 E Moreland Blvd Ste �AWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1376615583License: 5102-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

OSGOOD KOTLEWSKI, Kristin L.Dental Assocaites(262) 436-3363Prov. No.: 0000129575331211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1316978026License: 490215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*




Waukesha (Cont.)PAPE, Richard J.Dental Assocaites(262) 436-3363Prov. No.: 0000131765501211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1649394107License: 1001990License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

RAKOWSKY, Nina A.Dental Assocaites(262) 436-3363Prov. No.: 0000129589051211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1962980102License: 1001905-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

RICKARD, Paul V.Dental Assocaites(262) 436-3363Prov. No.: 0000127941131211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)RODRIGUEZ, Carlos M.Dental Assocaites(262) 436-3363Prov. No.: 0000129842051211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1932602182License: 1001937License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

RUZICKA, James F.Forward Dental(262) 549-5011Prov. No.: 0000000760261717 Paramount DrWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1356493001License: 2840-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*

SCHLINDWEIN, Jacob A.Proven Dental Llc(262) 650-3000Prov. No.: 0000124417211700 Coral Dr �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1639524929License: 100131615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)SCHMIDT, Zachary J.Zach Schmidt(262) 875-3304Prov. No.: 000012229137N4W22370 Bluemound RdSte �103Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1992862437License: 566415License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 875-3306Accepts New Patients: YHospital Affiliation: N/A*

SCHULER, Ethan J.Wisconsin Dental Group(262) 549-5011Prov. No.: 0000129241341717 Paramount DrWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1649708546License: 1001561-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*

SEFTON, Valerie M.Aspen Dental(262) 524-9000Prov. No.: 0000126998132320 E Moreland Blvd Ste �AWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1316461569License: 1001676License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)SEHRA, PamelaDental Assocaites(262) 436-3363Prov. No.: 0000126344761211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1922528157License: 1001627-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

SKARR, Brett C.Brett C Skarr Dds(262) 542-4827Prov. No.: 000012509901713 W Moreland Blvd �Waukesha, WI 53188Language: EnglishGender: MaleNPI: 1427387000License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (262) 542-9378Accepts New Patients: YHospital Affiliation: N/A*

STOJANOVIC, ChristinaDental Assocaites(262) 436-3363Prov. No.: 0000126084681211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1871022236License: 1001605-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*




Waukesha (Cont.)SUSLER, Majelle E.Summit Square Dental(262) 544-0171Prov. No.: 0000125375523228 Turnberry Oak Dr Ste100Waukesha, WI 53188Language: EnglishGender: FemaleNPI: 1760674600License: 6163-015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 544-0108Accepts New Patients: NHospital Affiliation: N/A*

TANTY, Kevin T.Tanty Family Dental(262) 542-8382Prov. No.: 000011772317W249S3642 Center RdWaukesha, WI 53189Language: EnglishGender: MaleNPI: 1215167002License: 6434015License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 542-9602Accepts New Patients: YHospital Affiliation: N/A*

TESKE, AlisonAspen Dental(262) 524-9000Prov. No.: 0000006956962320 E Moreland Blvd Ste �AWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1922261734License: 006246License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)TRAN, Diep N.Forward Dental(262) 549-5011Prov. No.: 0000122281441717 Paramount DrWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1386055903License: 1001195-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*

WADE, Donald J.Wade Family Dental(262) 542-4466Prov. No.: 0000000235001547 E Racine Ave �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1093866238License: 3928License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 542-6105Accepts New Patients: YHospital Affiliation: N/A*

WALKER, LaurieWisconsin Dental Group ScDba Forward Dental(262) 549-5011Prov. No.: 0000001722951717 Paramount DrWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1366509697License: 4479-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 549-3521Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)WARD, James T.Dental Assocaites(262) 436-3363Prov. No.: 0000129264891211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1548271505License: 3511-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

WYLER, RobertRobert L Wyler Dds Sc(262) 784-5757Prov. No.: 00000002541621051 Watertown Rd �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1427014547License: 2725License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

YANG, Kwon C.Dental Assocaites(262) 436-3363Prov. No.: 0000129440171211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1801387501License: 1001872License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

WAUPACA COUNTY

Iola

MAUS, James S.Iola Dental Clinic Sc(715) 445-2435Prov. No.: 000000338522100 Pine Crest Ln �Iola, WI 54945Language: EnglishGender: MaleNPI: 1447523592License: 2527-15License Type: DBP DentistBoard Certified: NEmail: smiles@ioladental. comFax: (715) 445-2554Accepts New Patients: YHospital Affiliation: N/A*

Waupaca

EVERSON, Kyle P.Riverhill Dental AssociatesDds Sc(715) 258-3311Prov. No.: 000012057913N2846 Shadow RdWaupaca, WI 54981Language: EnglishGender: MaleNPI: 1467795799License: 7059-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 942-8394Accepts New Patients: NHospital Affiliation: N/A*

LANG, Jeffrey R.Rlj Dental Sc(715) 258-8200Prov. No.: 000012081661400 School StWaupaca, WI 54981Language: EnglishGender: MaleNPI: 1467533224License: 5069-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



WAUPACA COUNTY (Cont.)

Waupaca (Cont.)PETTY, John A.Rlj Dental Sc(715) 258-8200Prov. No.: 000013110405400 School StWaupaca, WI 54981Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SANDS, ChrisRiverhill Dental AssociatesDds Sc(715) 258-3311Prov. No.: 000000264257N2846 Shadow RdWaupaca, WI 54981Language: EnglishGender: MaleNPI: 1376668715License: 4070-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 942-8394Accepts New Patients: NHospital Affiliation: N/A*

WAUSHARA COUNTY

Wautoma

DAILY, Nathan L.La Clinica De Los CampesinosInc(920) 787-5514Prov. No.: 000007194390400 S Townline RdWautoma, WI 54982Language: EnglishGender: MaleNPI: 1326486440License: 7091-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 787-4737Accepts New Patients: YHospital Affiliation: N/A*

WAUSHARA COUNTY (Cont.)

Wautoma (Cont.)FOX, Joan L.La Clinica De Los CampesinosInc(920) 787-5514Prov. No.: 000012566128400 S Townline RdWautoma, WI 54982Language: EnglishGender: FemaleNPI: 1194908236License: 1001455-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 787-4737Accepts New Patients: YHospital Affiliation: N/A*

ROWLAND, Larry D.La Clinica De Los CampesinosInc(920) 787-5514Prov. No.: 000012562080400 S Townline RdWautoma, WI 54982Language: EnglishGender: MaleNPI: 1760652846License: 100143815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 787-4737Accepts New Patients: YHospital Affiliation: N/A*

THIELEN, Brian M.La Clinica De Los CampesinosInc(920) 787-5514Prov. No.: 000000694390400 S Townline RdWautoma, WI 54982Language: EnglishGender: MaleNPI: 1104972033License: 4725-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 787-4737Accepts New Patients: YHospital Affiliation: N/A*

WINNEBAGO COUNTY

Menasha

LANG, Jeffrey R.Rlj Dental Sc(920) 725-5584Prov. No.: 0000002666021155 Wittmann Dr �Menasha, WI 54952Language: EnglishGender: MaleNPI: 1467533224License: 5069-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 722-0972Accepts New Patients: YHospital Affiliation: N/A*

LARSEN, VernonVenon A Larsen Dds Sc(920) 722-4293Prov. No.: 00000022174659 Racine St �Menasha, WI 54952Language: EnglishGender: MaleNPI: 1417138793License: 4001803-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MINTEN, Ashley A.Rlj Dental Sc(920) 725-5584Prov. No.: 0000120901341155 Wittmann Dr �Menasha, WI 54952Language: EnglishGender: FemaleNPI: 1720342504License: 692615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 722-0972Accepts New Patients: YHospital Affiliation: N/A*

WINNEBAGO COUNTY (Cont.)

Menasha (Cont.)PETTY, John A.Rlj Dental Sc(920) 725-5584Prov. No.: 0000131099411155 Wittmann DrMenasha, WI 54952Language: EnglishGender: MaleNPI: 1437211448License: 5543-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 722-0972Accepts New Patients: YHospital Affiliation: N/A*

WOCKENFUS, MichaelMid Valley Dental(920) 729-6322Prov. No.: 000000169584903 E Airport Rd �Menasha, WI 54952Language: EnglishGender: MaleNPI: 1174545438License: 4754-15License Type: DBP DentistBoard Certified: NEmail:Fax: (920) 729-6729Accepts New Patients: YHospital Affiliation: N/A*

Neenah

DAMROW, MichaelMichael P Damrow(920) 722-5151Prov. No.: 000012040413618 S Green Bay RdNeenah, WI 54956Language: EnglishGender: MaleNPI: 1699939884License: 619215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Neenah (Cont.)LANG, Jeffrey R.Rlj Dental Sc(920) 725-5668Prov. No.: 0000120775401512 S Commercial StNeenah, WI 54956Language: EnglishGender: MaleNPI: 1467533224License: 5069-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MEYER, James P.Midwest Dental(920) 725-0670Prov. No.: 000012853417201 E Bell StNeenah, WI 54956Language: EnglishGender: MaleNPI: 1215066626License: 411515License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WAID, Kory A.Rlj Dental Sc(920) 725-5668Prov. No.: 0000126606891512 S Commercial StNeenah, WI 54956Language: EnglishGender: MaleNPI: 1659684066License: 1001484-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Omro

DOWLING, Thomas M.Dowling Dental Clinic ofOmro(920) 685-2121Prov. No.: 0000001365491771 E Main StOmro, WI 54963Language: EnglishGender: MaleNPI: 1649374273License: 3181License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

MACHAK, Thomas R.Thomas Machak Dds(920) 685-5893Prov. No.: 000000245173123 W Main StOmro, WI 54963Language: EnglishGender: MaleNPI: 1790752020License: 3974License Type: DBP DentistBoard Certified: Not ReportedEmail: info@machakdental. netFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Oshkosh

BROWN, David J.Midwest Dental(920) 235-3023Prov. No.: 0000001920671050 S Koeller StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1013036433License: 5318-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oshkosh (Cont.)CALDER, Todd G.Oakpark Dental Group(920) 235-5503Prov. No.: 000000225347450 N Koeller St �Oshkosh, WI 54902Language: EnglishGender: MaleNPI: 1477626604License: 3645-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 235-5527Accepts New Patients: YHospital Affiliation: N/A*

CHRISTIAN, John P.Hughes & Christian Sc(920) 426-4540Prov. No.: 0000000353632202 Omro Rd �Oshkosh, WI 54904Language: EnglishGender: MaleNPI: 1437377355License: 4869License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DEUTSCHMANN, EdwardMidwest Dental(920) 231-5780Prov. No.: 000012867880290 Ohio StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1093718710License: 2563-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*


Oshkosh (Cont.)DUBESTER, GaryGary Dubester Dds(920) 426-3566Prov. No.: 000000702280404 N Main St Ste 312Oshkosh, WI 54901Language: EnglishGender: MaleNPI: 1689882789License: 2830License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DUDLEY, Ronald L.Ronald Dudley(920) 233-1927Prov. No.: 0000001809951763 Taft AveOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1639282767License: 3106015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GRAF, MichelleThomas Graf(920) 233-2279Prov. No.: 000000307757824 E Murdock AveOshkosh, WI 54901Language: EnglishGender: FemaleNPI: 1205929197License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Oshkosh (Cont.)HOFFMANN, Edward W.Aspen Dental(920) 233-3500Prov. No.: 000012423556404 S Koeller StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1326255597License: 2272License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

LANGEBERG, Allen D.Midwest Dental(920) 231-5780Prov. No.: 000012609821290 Ohio StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*

MACHI, ElizabethMidwest Dental(920) 231-5780Prov. No.: 000013065685290 Ohio StOshkosh, WI 54902Language: EnglishGender: FemaleNPI: 1669963740License: 1001863-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*


Oshkosh (Cont.)MACHI, JohnMidwest Dental(920) 231-5780Prov. No.: 000012873650290 Ohio StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1437502184License: 1001391License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*

MINTEN, Ashley A.Rlj Dental Sc(920) 303-1803Prov. No.: 0000120904921460 W South Park Ave �Oshkosh, WI 54902Language: EnglishGender: FemaleNPI: 1720342504License: 692615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 303-0109Accepts New Patients: YHospital Affiliation: N/A*

OLSEN, Joseph E.Midwest Dental(920) 231-5780Prov. No.: 000012050988290 Ohio StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1679986905License: 725315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*


Oshkosh (Cont.)RICKARD, Paul V.Midwest Dental(920) 231-5780Prov. No.: 000012781805290 Ohio StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1144341108License: 1001682-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*

SCHULZ, Sidney B.Aspen Dental(920) 233-3500Prov. No.: 000012396667404 S Koeller StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1164546503License: 3822-15License Type: DBP DentistBoard Certified: NEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

STEIDLEY, Kenneth E.Midwest Dental(920) 231-5780Prov. No.: 000012638780290 Ohio StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1609908599License: 1001249License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*


Oshkosh (Cont.)TOTO, Michael G.Midwest Dental(920) 231-5780Prov. No.: 000012738396290 Ohio StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1164633905License: 1001490-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*

TRENT, Bret W.Oakpark Dental Group(920) 235-5503Prov. No.: 000000350764450 N Koeller St �Oshkosh, WI 54902Language: EnglishGender: MaleNPI: 1548468721License: 6151License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 235-5527Accepts New Patients: YHospital Affiliation: N/A*

TRENT, Sara M.Sara M Trent Dds(920) 235-3023Prov. No.: 0000003759661050 S Koeller StOshkosh, WI 54902Language: EnglishGender: FemaleNPI: 1255460614License: 601615License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Oshkosh (Cont.)TRENT, Sara M.Oakpark Dental Group(920) 235-5503Prov. No.: 000012004094450 N Koeller St �Oshkosh, WI 54902Language: EnglishGender: FemaleNPI: 1255460614License: 601615License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 235-5527Accepts New Patients: YHospital Affiliation: N/A*

VAN LAARHOVEN, Erika V.Midwest Dental(920) 231-0093Prov. No.: 0000102137501477 W South Park AveOshkosh, WI 54902Language: EnglishGender: FemaleNPI: 1265725220License: 6718 15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 231-4973Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Midwest Dental(920) 231-5780Prov. No.: 000012792772290 Ohio StOshkosh, WI 54902Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 231-8810Accepts New Patients: YHospital Affiliation: N/A*


Oshkosh (Cont.)XIONG, Mai J.Midwest Dental(920) 231-0093Prov. No.: 0000115504041477 W South Park AveOshkosh, WI 54902Language: EnglishGender: FemaleNPI: 1861703365License: 667115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 231-4973Accepts New Patients: YHospital Affiliation: N/A*

WOOD COUNTY

Marshfield

BAUMGARTNER, Jacob C.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000012913248306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1124512777License: 1001860License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BRIESE, Jacob R.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000012913249306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1346734035License: 1001858License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOOD COUNTY (Cont.)

Marshfield (Cont.)BRUCE, Paul E.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000227305306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1710936133License: 4890-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

COEN, Timothy J.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000634763306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1427095561License: 4513-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GODAR, Dennis E.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000270338306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1336186477License: 3412-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOOD COUNTY (Cont.)

Marshfield (Cont.)HEHLI, Todd A.Suhail RanaProv. No.: 000012595078735 S Central AveMarshfield, WI 54449Language: EnglishGender: MaleNPI: 1922160498License: 4060-15License Type: DBP DentistBoard Certified: NEmail:Fax: (715) 387-6948Accepts New Patients: NHospital Affiliation: N/A*

KRACHT, Curtis A.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000192656306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1265479307License: 5049-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LARSON, Steven J.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000201780306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1629027040License: 5001771-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



WOOD COUNTY (Cont.)

Marshfield (Cont.)MCEWEN, Kevin D.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000221774306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1245277383License: 4975-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MCNEELY, Andrea J.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000013109842306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: FemaleNPI: 1265633978License: 6126-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MUELLER, Rick M.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000268529306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1891732947License: 3982-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOOD COUNTY (Cont.)

Marshfield (Cont.)RAASCH, Christopher T.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000262228306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1437108511License: 4159-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RANA, Suhail A.Mapleleaf Dental Llc(715) 384-3515Prov. No.: 000012993226735 S Central Ave �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1023485109License: 100124015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 387-6948Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ QUESA, Jose A.Dental Clinic of Marshfield(715) 387-1702Prov. No.: 000000634764306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1245277276License: 5012-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOOD COUNTY (Cont.)

Marshfield (Cont.)SUAREZ, CynthiaDental Clinic of Marshfield(715) 387-1702Prov. No.: 000000634762306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: FemaleNPI: 1962451781License: 5022-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOODWARD, Christine A.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012477452306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: FemaleNPI: 1205090024License: 629115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Wisconsin Rapids

GRABIEC, Edward J.Midwest Dental(715) 424-3553Prov. No.: 000000365780640 23rd St SWisconsin Rapids, WI 54494Language: EnglishGender: MaleNPI: 1598983389License: 590415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 424-4608Accepts New Patients: YHospital Affiliation: N/A*

WOOD COUNTY (Cont.)

Wisconsin Rapids (Cont.)GRABIEC, Edward J.Midwest Dental(715) 423-3322Prov. No.: 0000122009931730 7th St SWisconsin Rapids, WI 54494Language: EnglishGender: MaleNPI: 1598983389License: 590415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 424-3786Accepts New Patients: YHospital Affiliation: N/A*

GROH, KatelynMidwest Dental(715) 424-3553Prov. No.: 000012983278640 23rd St SWisconsin Rapids, WI 54494Language: EnglishGender: FemaleNPI: 1235620535License: 1001797License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 424-4608Accepts New Patients: YHospital Affiliation: N/A*

KEWAYGESHIK, Jane M.Midwest Dental(715) 424-3553Prov. No.: 000012152007640 23rd St SWisconsin Rapids, WI 54494Language: EnglishGender: FemaleNPI: 1346628021License: 1001088License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 424-4608Accepts New Patients: YHospital Affiliation: N/A*



WOOD COUNTY (Cont.)

Wisconsin Rapids (Cont.)LANGEBERG, Allen D.Midwest Dental(715) 424-3553Prov. No.: 000012529995640 23rd St SWisconsin Rapids, WI 54494Language: EnglishGender: MaleNPI: 1386853018License: 2294-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 424-4608Accepts New Patients: YHospital Affiliation: N/A*



BARRON COUNTY

Rice Lake

Orthodontist

BRONSKI, Robert J.Kristo Orthodontics(715) 835-5182Prov. No.: 0000128414121701 W Knapp St Ste CRice Lake, WI 54868Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

CHOI, Catherine K.Kristo Orthodontics(715) 835-5182Prov. No.: 0000128145141701 W Knapp St Ste CRice Lake, WI 54868Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

GREY, SuzanneKristo Orthodontics(715) 835-5182Prov. No.: 0000128187711701 W Knapp St Ste CRice Lake, WI 54868Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*


Rice Lake (Cont.)

Orthodontist (Cont.)

HOVDA, RichardKristo Orthodontics(715) 835-5182Prov. No.: 0000128190481701 W Knapp St Ste CRice Lake, WI 54868Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

KRISTO, Steven J.Kristo Orthodontics(715) 835-5182Prov. No.: 0000026193831701 W Knapp St Ste CRice Lake, WI 54868Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

BAYFIELD COUNTY

Bayfield

Pediatric Dentistry

SONDAY, Brent A.Red Cliff Band of LakeSuperior Chippewa(715) 779-3707Prov. No.: 00001283098436745 Aiken RdBayfield, WI 54814Language: EnglishGender: MaleNPI: 1164412441License: 4620License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 779-3502Accepts New Patients: YHospital Affiliation: N/A*

BROWN COUNTY

Ashwaubenon

Oral and Maxillofacial Surgeon

BALLARD, Mary l.Aspen Dental(920) 785-5130Prov. No.: 0000120775102388 S Oneida StAshwaubenon, WI 54304Language: EnglishGender: FemaleNPI: 1528381357License: 7206-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

Green Bay


ELLIS, Charles L.Bay Oral Surgery and ImplantCenter Ltd(920) 593-2900Prov. No.: 0000120522372981 Voyager Dr �Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1013098698License: 7225-15License Type: DBP DentistBoard Certified: YEmail: [email protected] mFax: (920) 592-2901Accepts New Patients: YHospital Affiliation: N/A*

ELLIS, Charles L.Bay Oral Surgery and ImplantCenter Ltd(920) 499-0471Prov. No.: 0000120522402353 S Ridge Rd Ste 1 �Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1013098698License: 7225-15License Type: DBP DentistBoard Certified: YEmail: [email protected] mFax: (920) 499-8312Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)

Oral and Maxillofacial Surgeon (Cont.)

KABELE, AndrewDental Associates Ltd(920) 431-0345Prov. No.: 000012518300430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1932362092License: 592515License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

KOCH, Bradley S.Bay Oral Surgery and ImplantCenter Ltd(920) 499-0471Prov. No.: 0000000533572353 S Ridge Rd Ste 1 �Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1013921196License: 4005-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (920) 499-8312Accepts New Patients: YHospital Affiliation: N/A*

LEMOINE, David L.Bay Oral Surgery and ImplantCenter Ltd(920) 499-0471Prov. No.: 0000000533562353 S Ridge Rd Ste 1 �Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1447264502License: 5000663-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (920) 499-8312Accepts New Patients: YHospital Affiliation: N/A*

198 SPECIALISTS



Green Bay (Cont.)


LEMOINE, Jason L.Bay Oral Surgery and ImplantCenter Ltd(920) 499-0471Prov. No.: 0000001774342353 S Ridge Rd Ste 1 �Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1356355424License: 4947-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (920) 499-8312Accepts New Patients: YHospital Affiliation: N/A*

MEYERS, Christopher J.Advanced Dental Specialists(920) 593-9393Prov. No.: 0000000790212476 S Oneida St Ste 150Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1215094495License: 4306-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 593-9398Accepts New Patients: YHospital Affiliation: N/A*

MISKELLA, Michael J.Bay Oral Surgery and ImplantCenter Ltd(920) 499-0471Prov. No.: 0000000533552353 S Ridge Rd Ste 1 �Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1588688105License: 5000673License Type: DBP DentistBoard Certified: NEmail: [email protected] mFax: (920) 499-8312Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)


NEWELL, Brandon E.Bay Care Clinic Llp(920) 347-0400Prov. No.: 0000126588712581 Development Dr Ste 104Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1619174877License: 1001664-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

NEWELL, Brandon E.Baycare Clinic Llp(920) 347-0400Prov. No.: 0000126589922253 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1619174877License: 1001664-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

NEWELL, Brandon E.Baycare Clinic Llp(920) 490-9046Prov. No.: 000012869424164 N BroadwayGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1619174877License: 1001664-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)


PARMAR, Vijay S.Bay Oral Surgery and ImplantCenter Ltd(920) 499-0471Prov. No.: 0000001898322353 S Ridge Rd Ste 1 �Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1447274071License: 5074-015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (920) 499-8312Accepts New Patients: YHospital Affiliation: N/A*

PASTUOVIC, Milan N.Dental Associates Ltd(920) 431-0345Prov. No.: 000012871312430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

SCHUH, Michael J.Bay Care Clinic Llp(920) 347-0400Prov. No.: 0000002745342253 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1760403570License: 4267License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)


SCHUH, Michael J.Bay Care Clinic Llp(920) 347-0400Prov. No.: 0000006313212581 Development Dr Ste 104Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1760403570License: 4267License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

SCHUH, Michael J.Baycare Clinic Llp(920) 490-9046Prov. No.: 000012873606164 N BroadwayGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1760403570License: 4267License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SEUBERT, Chad R.Baycare Clinic(920) 347-0400Prov. No.: 0000124197872253 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1396001483License: 1001261-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

199SPECIALISTS (Continued)



Green Bay (Cont.)


SEUBERT, Chad R.Baycare Clinic Llp(920) 347-0400Prov. No.: 0000124197892581 Development Dr Ste 104Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1396001483License: 1001261-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

STEVENS, Timothy W.Aids Resource Center ofWisconsin(920) 437-7400Prov. No.: 000012838529445 S Adams StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1164416731License: 7197-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 437-1040Accepts New Patients: YHospital Affiliation: N/A*

TALEB, RedaBay Oral Surgery and ImplantCenter(920) 499-0471Prov. No.: 0000129539952353 S Ridge Rd Ste 1Green Bay, WI 54304Language: EnglishGender: MaleNPI: 1114154143License: 1001896-15License Type: DBP DentistBoard Certified: YEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)


TALEB, RedaBay Oral Surgery and ImplantCenter Ltd(920) 593-2900Prov. No.: 0000129674612981 Voyager Dr �Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1114154143License: 1001896-15License Type: DBP DentistBoard Certified: YEmail: [email protected] mFax: (920) 592-2901Accepts New Patients: YHospital Affiliation: N/A*

WELSH, Gregory W.Baycare Clinic Llp(920) 347-0400Prov. No.: 0000123218872253 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1124049820License: 4471015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

WELSH, Gregory W.Baycare Clinic Llp(920) 347-0400Prov. No.: 0000123329942581 Development Dr Ste 104Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1124049820License: 4471015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)


WILSON, Bernadette L.Baycare Clinic Llp(920) 347-0400Prov. No.: 0000128999162581 Development Dr Ste 104Green Bay, WI 54311Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Baycare Clinic Llp(920) 347-0400Prov. No.: 0000129077522253 W Mason StGreen Bay, WI 54303Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Dental Associates Ltd(920) 431-0345Prov. No.: 000013069271430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)


ZENT, Steve A.Bay Care Clinic Llp(920) 347-0400Prov. No.: 0000002580482581 Development Dr Ste 104Green Bay, WI 54311Language: EnglishGender: MaleNPI: 1174545982License: 5141License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

ZENT, Steve A.Bay Care Clinic Llp(920) 347-0400Prov. No.: 0000002887122253 W Mason StGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1174545982License: 5141License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 347-0868Accepts New Patients: YHospital Affiliation: N/A*

ZENT, Steve A.Baycare Clinic Llp(920) 490-9046Prov. No.: A00000017276164 N BroadwayGreen Bay, WI 54303Language: EnglishGender: MaleNPI: 1174545982License: 5141License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

200 SPECIALISTS (Continued)



Green Bay (Cont.)

Orthodontist

BRANSHAW, NicolasDental Associates Ltd(920) 431-0345Prov. No.: 000012940251430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

SANFELIPPO, Lisa L.Familia Dental Green Bay Llc(888) 988-4066Prov. No.: 0000125096521931 Main StGreen Bay, WI 54302Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates Ltd(920) 431-0345Prov. No.: 000012639094430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)


WURM, Bradley J.Dental Associates Ltd(920) 431-0345Prov. No.: 000012643466430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

BRANDENBURG, Leigh A.Dental Associates Ltd(920) 431-0345Prov. No.: 000012550335430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1083901185License: 723215License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

GOODELL, Laura E.Dental Associates Ltd(920) 431-0345Prov. No.: 000012775814430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)

Pediatric Dentistry (Cont.)

THIRUMALA, Geetha D.Dental Associates Ltd(920) 431-0345Prov. No.: 000012996145430 Main StGreen Bay, WI 54301Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

CROWLEY, Micah J.Dental Associates Ltd(920) 431-0345Prov. No.: 000012743020430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1386059772License: 1001721-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

HASSAN, Joshua M.Dental Associates Ltd(920) 431-0345Prov. No.: 000012814849430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*


Green Bay (Cont.)

Periodontist (Cont.)

STOIANOVICI, CharlesDental Associates Ltd(920) 431-0345Prov. No.: 000012897388430 Main StGreen Bay, WI 54301Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 431-0567Accepts New Patients: YHospital Affiliation: N/A*

Howard


PASTUOVIC, Milan N.Dental Associates-Howard(920) 965-5525Prov. No.: 0000128713192340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Dental Associates-Howard(920) 965-5525Prov. No.: 0000130696202340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*




Howard (Cont.)

Orthodontist

BRANSHAW, NicolasDental Associates-Howard(920) 965-5525Prov. No.: 0000129402572340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates-Howard(920) 965-5525Prov. No.: 0000126391002340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

WURM, Bradley J.Dental Associates-Howard(920) 965-5525Prov. No.: 0000126434722340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*


Howard (Cont.)

Pediatric Dentistry

GOODELL, Laura E.Dental Associates-Howard(920) 965-5525Prov. No.: 0000127758172340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Dental Associates-Howard(920) 965-5525Prov. No.: 0000129961472340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

HASSAN, Joshua M.Dental Associates-Howard(920) 965-5525Prov. No.: 0000128148522340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*


Howard (Cont.)


NIKOLOVA, GerganaDental Associates-Howard(920) 965-5525Prov. No.: 0000131200732340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDental Associates-Howard(920) 965-5525Prov. No.: 0000128973912340 Duck Creek PkwyHoward, WI 54303Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 965-5544Accepts New Patients: YHospital Affiliation: N/A*

CHIPPEWA COUNTY

Bloomer

Orthodontist

BRONSKI, Robert J.Kristo Orthodontics(715) 835-5182Prov. No.: 0000128414161214 15th AveBloomer, WI 54724Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*


Bloomer (Cont.)


CHOI, Catherine K.Kristo Orthodontics(715) 835-5182Prov. No.: 0000128145191214 15th AveBloomer, WI 54724Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

GREY, SuzanneKristo Orthodontics(715) 835-5182Prov. No.: 0000128187751214 15th AveBloomer, WI 54724Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

HOVDA, RichardKristo Orthodontics(715) 835-5182Prov. No.: 0000128190511214 15th AveBloomer, WI 54724Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*




Bloomer (Cont.)


KRISTO, Steven J.Kristo Orthodontics(715) 835-5182Prov. No.: 0000026193771214 15th AveBloomer, WI 54724Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

Chippewa Falls

Orthodontist

BRONSKI, Robert J.Kristo Orthodontics(715) 835-5182Prov. No.: 000012841414131 W Central StChippewa Falls, WI 54729Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

CHOI, Catherine K.Kristo Orthodontics(715) 835-5182Prov. No.: 000012814516131 W Central StChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*


Chippewa Falls (Cont.)


GREY, SuzanneKristo Orthodontics(715) 835-5182Prov. No.: 000012818773131 W Central StChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

HOVDA, RichardKristo Orthodontics(715) 835-5182Prov. No.: 000012819049131 W Central StChippewa Falls, WI 54729Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

SERFLEK, Joseph C.Erin Tessendorf(715) 723-7339Prov. No.: 00001263562838 E Grand AveChippewa Falls, WI 54729Language: EnglishGender: MaleNPI: 1881764983License: 5001492License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Chippewa Falls (Cont.)

Pediatric Dentistry

CHRISTMAN, Rena J.Christman Dental Ltd(715) 726-1060Prov. No.: 000012826854425 W Prairie View RdChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1689923898License: 693615License Type: DBP DentistBoard Certified: YEmail: [email protected]: (715) 726-1066Accepts New Patients: YHospital Affiliation: N/A*

Prosthodontist

VASANI, Rupal S.Christman Dental Ltd(715) 726-1060Prov. No.: 000012898628425 W Prairie View RdChippewa Falls, WI 54729Language: EnglishGender: FemaleNPI: 1033482500License: 6466License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 726-1066Accepts New Patients: YHospital Affiliation: N/A*

Stanley

Orthodontist

BRONSKI, Robert J.Kristo Orthodontics(715) 835-5182Prov. No.: 000012841411120 W 4th AveStanley, WI 54768Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*


Stanley (Cont.)


CHOI, Catherine K.Kristo Orthodontics(715) 835-5182Prov. No.: 000012814513120 W 4th AveStanley, WI 54768Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

GREY, SuzanneKristo Orthodontics(715) 835-5182Prov. No.: 000012818770120 W 4th AveStanley, WI 54768Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

HOVDA, RichardKristo Orthodontics(715) 835-5182Prov. No.: 000012819047120 W 4th AveStanley, WI 54768Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*




Stanley (Cont.)


KRISTO, Steven J.Kristo Orthodontics(715) 835-5182Prov. No.: 000002462416120 W 4th AveStanley, WI 54768Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

CLARK COUNTY

Neillsville

Orthodontist

MEINHARDT, Carl F.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122657982510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1871542696License: 2789-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROUTIER, Donald D.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122584982510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1780633867License: 4982-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Neillsville (Cont.)

Pediatric Dentistry

HORTON, William C.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122653572510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1811946239License: 5901-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KWARCIANY, Donald A.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122584222510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1023118973License: 4883-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHEA, JohnDental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000125346682510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1982719951License: 3034-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Neillsville (Cont.)

Periodontist

BAUMGARTNER, Mark H.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 0000122584922510 Black River RdNeillsville, WI 54456Language: EnglishGender: MaleNPI: 1265593107License: 6211-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY

Fitchburg

Endodontist

ANDERS, NicholasDental Health Associates ofMadison(608) 442-4433Prov. No.: 0000125283572971 Chapel Valley RdFitchburg, WI 53711Language: EnglishGender: MaleNPI: 1538470844License: 6869-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Fitchburg (Cont.)


SAPOVADIA, Parimal G.First Choice Dental Group(608) 273-6500Prov. No.: 0000120986075950 Seminole Centre CtFitchburg, WI 53711Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

MCDERMOTT, Sarah C.First Choice Dental Group(608) 273-6500Prov. No.: 0000127194745950 Seminole Centre CtFitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SALMAN, Dina O.First Choice Dental Group Sc(608) 273-6500Prov. No.: 0000130799205950 Seminole Centre Ct STe 120Fitchburg, WI 53711Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Fitchburg (Cont.)

Periodontist

NAZZAL, AmjadDental Health Associates ofMadison Ltd(608) 661-6410Prov. No.: 0000122553222971 Chapel Valley Rd Ste100Fitchburg, WI 53711Language: EnglishGender: MaleNPI: 1487915484License: 53711License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Madison

Endodontist

SHARMA, HimanshuAdvanced Dental Specialists(608) 244-6888Prov. No.: 0000120305991734 Thierer RdMadison, WI 53704Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

SHARMA, HimanshuAdvanced Dental Specialists(608) 231-2006Prov. No.: 0000120306042 Science CtMadison, WI 53711Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 238-5811Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)

Endodontist (Cont.)

SHARMA, HimanshuAdvanced Dental Specialists(608) 231-2006Prov. No.: 00001203093034 Schroeder Ct Ste 300Madison, WI 53711Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


MEHRABI, MehranAdvanced Dental Specialists(608) 244-6888Prov. No.: 0000006791141734 Thierer RdMadison, WI 53704Language: EnglishGender: MaleNPI: 1033211099License: 6344-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

MEYERS, Christopher J.Advanced Dental Specialists(608) 244-6888Prov. No.: 0000006781391734 Thierer RdMadison, WI 53704Language: EnglishGender: MaleNPI: 1215094495License: 4306-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 244-2372Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)


RADOVAN, Andrew I.Aspen Dental(608) 616-5897Prov. No.: 0000126998744602 E Washington AveMadison, WI 53704Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

SAPOVADIA, Parimal G.First Choice Dental Group(608) 249-9141Prov. No.: 000007192751258 Corporate Dr Ste 201Madison, WI 53714Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

SAPOVADIA, Parimal G.First Choice Dental Group(608) 833-1100Prov. No.: 000007192758138 Junction Rd �Madison, WI 53717Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)

Orthodontist

MCDERMOTT, Sarah C.First Choice Dental Group(608) 256-0671Prov. No.: 0000127193811050 Regent StMadison, WI 53715Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (608) 256-6077Accepts New Patients: YHospital Affiliation: N/A*

MCDERMOTT, Sarah C.First Choice Dental Group(608) 251-3535Prov. No.: 000012719652621 S Park StMadison, WI 53715Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MCDERMOTT, Sarah C.First Choice Dental Group(608) 833-1100Prov. No.: 000012719653138 Junction Rd �Madison, WI 53717Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Madison (Cont.)


MCDERMOTT, Sarah C.First Choice Dental Group(608) 249-9141Prov. No.: 0000127196541809 East Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

PELSUE, Mitchell W.Beam Smiles Llc(608) 467-3336Prov. No.: 000012885032538 N Midvale BlvdMadison, WI 53705Language: EnglishGender: MaleNPI: 1356424303License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SALMAN, Dina O.First Choice Dental Group(608) 256-0671Prov. No.: 0000130799121050 Regent StMadison, WI 53715Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 256-6077Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)


SALMAN, Dina O.First Choice Dental Group(608) 251-3535Prov. No.: 000013079913621 S Park StMadison, WI 53715Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SALMAN, Dina O.First Choice Dental Group(608) 833-1100Prov. No.: 000013079914138 Junction Rd �Madison, WI 53717Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 833-9530Accepts New Patients: YHospital Affiliation: N/A*

SALMAN, Dina O.First Choice Dental Group(608) 249-9141Prov. No.: 0000130799151809 East Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)


SANFELIPPO, Lisa L.Familia Dental Madison EastLlc(888) 988-4066Prov. No.: 0000125096513003 E Washington AveMadison, WI 53704Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

SANFELIPPO, Lisa L.Familia Dental Madison WestLlc(888) 988-4066Prov. No.: 000012548327706 S Gammon RdMadison, WI 53719Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

LORSON, Matthew E.Dental Health Associates ofMadison Ltd(608) 246-2555Prov. No.: 00000068483649 N Walbridge AveMadison, WI 53714Language: EnglishGender: MaleNPI: 1912069402License: 6215-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Madison (Cont.)


LORSON, Matthew E.Dental Health Associates ofMadison Ltd(608) 442-4400Prov. No.: 0000122567492713 Marshall CtMadison, WI 53705Language: EnglishGender: MaleNPI: 1912069402License: 6215-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PROTOPOPOVA, MarinaAdvanced Dental Specialists(608) 231-2006Prov. No.: 00001282418234 Schroeder Ct Ste 300Madison, WI 53711Language: EnglishGender: FemaleNPI: 1396160834License: 1001472-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STACKER, Susan A.Advanced Dental Specialists(608) 231-2006Prov. No.: 0000006636902 Science CtMadison, WI 53711Language: EnglishGender: FemaleNPI: 1306903786License: 4828-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 238-5811Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Middleton


SAPOVADIA, Parimal G.First Choice Dental Group(608) 836-1020Prov. No.: 0000128846477780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

MCDERMOTT, Sarah C.First Choice Dental Group(608) 836-1020Prov. No.: 0000127196557780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SALMAN, Dina O.First Choice Dental Group(608) 836-1020Prov. No.: 0000130799167780 Elmwood Ave Ste 108Middleton, WI 53562Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Stoughton

Endodontist

LEE, Robert S.First Choice Dental Group(608) 205-3280Prov. No.: 0000126042861300 Nygaard StStoughton, WI 53589Language: EnglishGender: MaleNPI: 1215196159License: 6726-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*


SAPOVADIA, Parimal G.First Choice Dental Group(608) 205-3280Prov. No.: 0000126037991300 Nygaard StStoughton, WI 53589Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

MCDERMOTT, Sarah C.First Choice Dental Group(608) 205-3280Prov. No.: 0000127194781300 Nygaard StStoughton, WI 53589Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Stoughton (Cont.)


SALMAN, Dina O.First Choice Dental Group(608) 205-3280Prov. No.: 0000130799191300 Nygaard StStoughton, WI 53589Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

VAN WESTEN, Luciana Alice M.First Choice Dental Group(608) 205-3280Prov. No.: 0000126038011300 Nygaard StStoughton, WI 53589Language: English,Portuguese, SpanishGender: FemaleNPI: 1962506964License: 610215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 308-2949Accepts New Patients: YHospital Affiliation: N/A*

Sun Prairie

Endodontist

LEE, Robert S.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012558961119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1215196159License: 6726-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Sun Prairie (Cont.)


SAPOVADIA, Parimal G.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012558956119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

MCDERMOTT, Sarah C.First Choice Dental Group(608) 837-9800Prov. No.: 000012719475140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*

MCDERMOTT, Sarah C.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012719476119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*



DANE COUNTY (Cont.)

Sun Prairie (Cont.)


SALMAN, Dina O.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000013079917119 Wilburn RdSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

SALMAN, Dina O.First Choice Dental Group(608) 837-9800Prov. No.: 000013079921140 N City Station DrSun Prairie, WI 53590Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 837-2470Accepts New Patients: YHospital Affiliation: N/A*

VAN WESTEN, Luciana Alice M.First Choice Dental Group Sc(608) 318-4330Prov. No.: 000012584935119 Wilburn RdSun Prairie, WI 53590Language: English,Portuguese, SpanishGender: FemaleNPI: 1962506964License: 610215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 646-7647Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Verona


SAPOVADIA, Parimal G.First Choice Dental Group(608) 848-2000Prov. No.: 000006299338927 N Main StVerona, WI 53593Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

MCDERMOTT, Sarah C.First Choice Dental Group(608) 848-2000Prov. No.: 000012719656927 N Main StVerona, WI 53593Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

SALMAN, Dina O.First Choice Dental Group(608) 848-2000Prov. No.: 000013080010927 N Main StVerona, WI 53593Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Verona (Cont.)


VAN WESTEN, Luciana Alice M.First Choice Dental Group(608) 848-2000Prov. No.: 000012557067927 N Main StVerona, WI 53593Language: English,Portuguese, SpanishGender: FemaleNPI: 1962506964License: 610215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 848-1896Accepts New Patients: YHospital Affiliation: N/A*

Waunakee


SAPOVADIA, Parimal G.First Choice Dental Group(608) 849-5600Prov. No.: 0000121366041141 Simon CrestwayWaunakee, WI 53597Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 268-8611Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

MCDERMOTT, Sarah C.First Choice Dental Group(608) 849-5600Prov. No.: 0000127194771141 Simon CrestwayWaunakee, WI 53597Language: EnglishGender: FemaleNPI: 1811342298License: 1001272-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (608) 268-8611Accepts New Patients: YHospital Affiliation: N/A*

DANE COUNTY (Cont.)

Waunakee (Cont.)


SALMAN, Dina O.First Choice Dental Group(608) 849-5600Prov. No.: 0000130799181141 Simon CrestwayWaunakee, WI 53597Language: EnglishGender: FemaleNPI: 1295186427License: 1001993License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 268-8611Accepts New Patients: YHospital Affiliation: N/A*

DOOR COUNTY

Sturgeon Bay


NEWELL, Brandon E.Baycare Clinic Llp(920) 743-2001Prov. No.: 00001265900730 N 18th Ave Ste 6Sturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1619174877License: 1001664-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 743-1744Accepts New Patients: YHospital Affiliation: N/A*

NEWELL, Brandon E.Baycare Clinic Llp(920) 743-2001Prov. No.: 000012878934636 N 12th AveSturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1619174877License: 1001664-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



DOOR COUNTY (Cont.)

Sturgeon Bay (Cont.)


SCHUH, Michael J.Baycare Clinic Llp(920) 743-2001Prov. No.: 00000026804930 N 18th Ave Ste 6Sturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1760403570License: 4267License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 743-1744Accepts New Patients: YHospital Affiliation: N/A*

SCHUH, Michael J.Baycare Clinic Llp(920) 743-2001Prov. No.: 000012878802636 N 12th AveSturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1760403570License: 4267License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SEUBERT, Chad R.Baycare Clinic Llp(920) 743-2001Prov. No.: 00001241978830 N 18th Ave Ste 6Sturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1396001483License: 1001261-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 743-1744Accepts New Patients: YHospital Affiliation: N/A*

DOOR COUNTY (Cont.)



SEUBERT, Chad R.Baycare Clinic Llp(920) 743-2001Prov. No.: 000012878805636 N 12th AveSturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1396001483License: 1001261-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Baycare Clinic Llp(920) 743-2001Prov. No.: 000012907749636 N 12th AveSturgeon Bay, WI 54235Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ZENT, Steve A.Baycare Clinic Llp(920) 743-2001Prov. No.: 00000009449530 N 18th Ave Ste 6Sturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1174545982License: 5141License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 743-1744Accepts New Patients: YHospital Affiliation: N/A*

DOOR COUNTY (Cont.)



ZENT, Steve A.Baycare Clinic Llp(920) 743-2001Prov. No.: 000012878851636 N 12th AveSturgeon Bay, WI 54235Language: EnglishGender: MaleNPI: 1174545982License: 5141License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DUNN COUNTY

Menomonie

Orthodontist

BRONSKI, Robert J.Kristo Orthodontics(715) 835-5182Prov. No.: 0000128414133120 Schneider Ave SE Ste9Menomonie, WI 54751Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

CHOI, Catherine K.Kristo Orthodontics(715) 835-5182Prov. No.: 0000128145153120 Schneider Ave SE Ste9Menomonie, WI 54751Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

DUNN COUNTY (Cont.)

Menomonie (Cont.)


GREY, SuzanneKristo Orthodontics(715) 835-5182Prov. No.: 0000128187723120 Schneider Ave SE Ste9Menomonie, WI 54751Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*

HOVDA, RichardKristo Orthodontics(715) 835-5182Prov. No.: 0000128479223120 Schneider Ave SE Ste9Menomonie, WI 54751Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

KRISTO, Steven J.Kristo Orthodontics(715) 835-5182Prov. No.: 0000026193843120 Schneider Ave SE Ste9Menomonie, WI 54751Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: NHospital Affiliation: N/A*



EAU CLAIRE COUNTY

Eau Claire

Orthodontist

BRONSKI, Robert J.Kristo Orthodontics(715) 835-5182Prov. No.: 0000128414093902 Oakwood Hills PkwyEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

CHOI, Catherine K.Kristo Orthodontics(715) 835-5182Prov. No.: 0000128145123902 Oakwood Hills PkwyEau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

DUEVEL, David C.Kristo Orthodontics(715) 835-5182Prov. No.: 0000130535533902 Oakwood Hills PkwyEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1134675457License: 1001965License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)


GREY, SuzanneKristo Orthodontics(715) 835-5182Prov. No.: 0000128187673902 Oakwood Hills PkwyEau Claire, WI 54701Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

HOVDA, RichardKristo Orthodontics(715) 835-5182Prov. No.: 0000128190433902 Oakwood Hills PkwyEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

LAMANSKY, Gregory A.Associated Orthodontics ofWausau(715) 836-0178Prov. No.: 0000001347431030 Oak Ridge DrEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1508964842License: 3435License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Eau Claire (Cont.)

Prosthodontist

KRISTO, Steven J.Kristo Orthodontics(715) 835-5182Prov. No.: 0000001282843902 Oakwood Hills PkwyEau Claire, WI 54701Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

FOND DU LAC COUNTY

Fond Du Lac


BROTKOWSKI, Eddie K.Oral Surgery Associates Ltd(920) 923-0111Prov. No.: 000012905416464 S Hickory St Ste AFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1003100470License: 1001767License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 923-0366Accepts New Patients: YHospital Affiliation: N/A*

JENSEN, Guy K.Oral Surgery Assoc Ltd(920) 923-0111Prov. No.: 000000256612464 S Hickory St Ste AFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1225137227License: 5001856License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)


PASTUOVIC, Milan N.Dental Associates Ltd(920) 924-9090Prov. No.: 000012871323545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

RADOVAN, Andrew I.Aspen Dental(920) 929-7400Prov. No.: 000012699912834 W Johnson StFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHMIDT, David P.Oral Surgery Associates Ltd(920) 923-0111Prov. No.: 000001134340464 S Hickory St Ste AFond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1346403235License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (920) 923-0366Accepts New Patients: YHospital Affiliation: N/A*




Fond Du Lac (Cont.)


WILSON, Bernadette L.Dental Associates Ltd(920) 924-9090Prov. No.: 000013069617545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRANSHAW, NicolasDental Associates Ltd(920) 924-9090Prov. No.: 000012940253545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates Ltd(920) 924-9090Prov. No.: 000012639096545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)


WURM, Bradley J.Dental Associates Ltd(920) 924-9090Prov. No.: 000012643470545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

GOODELL, Laura E.Dental Associates Ltd(920) 924-9090Prov. No.: 000012775815545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Dental Associates Ltd(920) 924-9090Prov. No.: 000012996146545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*


Fond Du Lac (Cont.)

Periodontist

HASSAN, Joshua M.Dental Associates Ltd(920) 924-9090Prov. No.: 000012814850545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaDental Associates Ltd(920) 924-9090Prov. No.: 000013120069545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDental Associates Ltd(920) 924-9090Prov. No.: 000012897389545 E Johnson St �Fond Du Lac, WI 54935Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 921-0800Accepts New Patients: YHospital Affiliation: N/A*

GREEN COUNTY

Monroe


KHADER, RubaPremier Oral & MaxillofacialSurgery Sc(608) 756-8744Prov. No.: 000013041902121 6th St �Monroe, WI 53566Language: EnglishGender: FemaleNPI: 1992976427License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MEISTER, Richard D.Premier Oral & MaxillofacialSurgery(608) 325-7177Prov. No.: 000005421235121 6th St �Monroe, WI 53566Language: EnglishGender: MaleNPI: 1790886208License: 4784-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SWANTEK, Jason J.Premier Oral & MaxillofacialSurgery Sc(608) 756-8744Prov. No.: 000012472717121 6th St �Monroe, WI 53566Language: EnglishGender: MaleNPI: 1033200118License: 6797-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



JACKSON COUNTY

Black River Falls

Endodontist

JESPERSEN, JamesHo-Chudk Healthcare CenterProv. No.: 000013110351N6520 Lumberjack Guy RdBlack River Falls, WI 54615Language: EnglishGender: MaleNPI: 1225229669License: 7032License Type: DBP DentistBoard Certified: YEmail: liz.lund@ho-chunk. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

NORDEEN, Derek B.Ho-Chudk Healthcare CenterProv. No.: 000013110352N6520 Lumberjack Guy RdBlack River Falls, WI 54615Language: EnglishGender: MaleNPI: 1467890475License: 5311-15License Type: DBP DentistBoard Certified: YEmail: liz.lund@ho-chunk. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRONSKI, Robert J.Kristo Orthodontics(715) 835-5182Prov. No.: 000012841415716 W Adams StBlack River Falls, WI 54615Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

JACKSON COUNTY (Cont.)

Black River Falls (Cont.)


CHOI, Catherine K.Kristo Orthodontics(715) 835-5182Prov. No.: 000012814518716 W Adams StBlack River Falls, WI 54615Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

GREY, SuzanneKristo Orthodontics(715) 835-5182Prov. No.: 000012818774716 W Adams StBlack River Falls, WI 54615Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

HOVDA, RichardKristo Orthodontics(715) 835-5182Prov. No.: 000012819050716 W Adams StBlack River Falls, WI 54615Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

JACKSON COUNTY (Cont.)

Black River Falls (Cont.)


KRISTO, Steven J.Kristo Orthodontics(715) 835-5182Prov. No.: 000002619381716 W Adams StBlack River Falls, WI 54615Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 839-7199Accepts New Patients: YHospital Affiliation: N/A*

JEFFERSON COUNTY

Johnson Creek

Orthodontist

BUBON, Michael S.Bubon & AssociatesOrthodontics Sc(262) 569-7447Prov. No.: 000012267815545 Village Walk LnJohnson Creek, WI 53038Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROZNY, Kersden R.Bubon & AssociatesOrthodontics Sc(262) 569-7447Prov. No.: 000012502196545 Village Walk LnJohnson Creek, WI 53038Language: EnglishGender: FemaleNPI: 1750692257License: 6660-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KENOSHA COUNTY

Kenosha

Endodontist

BELARDI, David W.Endodontic Specialists of WiSc(262) 842-7022Prov. No.: 0000121757947500 Green Bay Rd Ste 200 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1184879108License: 5000872-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

DAVIS, JoshuaEndodontic Specialists of WiSc(262) 842-7022Prov. No.: 0000128725257500 Green Bay Rd Ste 200 �Kenosha, WI 53142Language: English, TagalogGender: FemaleNPI: 1932172988License: 5787License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

OLSEN, Fred K.Endodontic Specialists of WiSc(262) 842-7022Prov. No.: 0000121757987500 Green Bay Rd Ste 200 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1275873374License: 4387License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*




Kenosha (Cont.)

Endodontist (Cont.)

URBANCZYK, RichardEndodontic Specialists of WiSc(262) 842-7022Prov. No.: 0000121757927500 Green Bay Rd Ste 200 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1770899486License: 5534-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

WATKINS, BrianEndodontic Specialists of WiSc(262) 842-7022Prov. No.: 0000121757957500 Green Bay Rd Ste 200 �Kenosha, WI 53142Language: EnglishGender: MaleNPI: 1124006226License: 642115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


PASTUOVIC, Milan N.Dental Associates Ltd(262) 942-7000Prov. No.: 0000128713157117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)


WILSON, Bernadette L.Dental Associates Ltd(262) 942-7000Prov. No.: 0000130696127117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRANSHAW, NicolasDental Associates Ltd(262) 942-7000Prov. No.: 0000129402327117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

SANFELIPPO, Lisa L.Familia Dental Kenosha Llc(888) 988-4066Prov. No.: 0000125096426430 Green Bay Rd Ste 112 �Kenosha, WI 53142Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)


WARNER, Gary A.Dental Associates Ltd(262) 942-7000Prov. No.: 0000126390897117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

WURM, Bradley J.Dental Associates Ltd(262) 942-7000Prov. No.: 0000126434627117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

GOODELL, Laura E.Dental Associates Ltd ofWisconsin(866) 811-4619Prov. No.: 0000127758067117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)


SWEARINGEN, Purnima C.Purnima Swearingen Dds(262) 658-8466Prov. No.: 0000003234974707 Washington RdKenosha, WI 53144Language: EnglishGender: FemaleNPI: 1770679276License: 3419License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 658-1277Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Dental Associates Ltd(262) 942-7000Prov. No.: 0000129961337117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Kids 1st Dental(262) 658-8466Prov. No.: 0000130393734707 Washington RdKenosha, WI 53144Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 658-1277Accepts New Patients: YHospital Affiliation: N/A*




Kenosha (Cont.)

Periodontist

HASSAN, Joshua M.Dental Associates Ltd(262) 942-7000Prov. No.: 0000128148427117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaDental Associates Ltd(262) 942-7000Prov. No.: 0000131320697117 Green Bay RdKenosha, WI 53142Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDental Associates Ltd(262) 942-7000Prov. No.: 0000128973817117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*


Kenosha (Cont.)


VRAVICK, John A.Dental Associates Ltd(262) 942-7000Prov. No.: 0000004250207117 Green Bay RdKenosha, WI 53142Language: EnglishGender: MaleNPI: 1467527788License: 6313-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 942-7117Accepts New Patients: YHospital Affiliation: N/A*

Pleasant Prairie


RADOVAN, Andrew I.Aspen Dental(262) 577-3000Prov. No.: 0000126999069800 76th St Ste 108Pleasant Prairie, WI 53158Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

VALERI, Nicholas J.Valeri Orthodontics Sc(262) 577-5242Prov. No.: 0000125676679020 76th St Ste BPleasant Prairie, WI 53158Language: EnglishGender: MaleNPI: 1710327119License: 7051-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LA CROSSE COUNTY

Holmen

Orthodontist

GREY, SuzanneGreat River OrthodonticSpecialists Sc(608) 526-6771Prov. No.: 000013012088500 N Holmen DrHolmen, WI 54636Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

La Crosse

Orthodontist

GREY, SuzanneGreat River OrthodonticsSpecialists Sc(608) 782-6778Prov. No.: 0000130314891200 Main StLa Crosse, WI 54601Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KRISTO, Steven J.Great River Orthodontics(608) 782-6778Prov. No.: 0000128506541200 Main StLa Crosse, WI 54601Language: EnglishGender: MaleNPI: 1629202510License: 3752-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 782-6561Accepts New Patients: YHospital Affiliation: N/A*


La Crosse (Cont.)

Pediatric Dentistry

HANKS, Benjamin J.La Crosse Pediatric Dentistry(608) 782-4054Prov. No.: 0000129319282 Copeland Ave Ste 203La Crosse, WI 54603Language: EnglishGender: MaleNPI: 1578914255License: 1001369License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HANKS, Jonathan M.Lacrosse Pediatric Dentistry(608) 782-4054Prov. No.: 0000122072572 Copeland Ave Ste 203La Crosse, WI 54603Language: EnglishGender: MaleNPI: 1316268915License: 100117415License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Onalaska


LUDINGTON, DavidOral Suregry Cliinic ofLacrosse Ltd(608) 782-8193Prov. No.: 0000001380642819 National DrOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1770570624License: 5106License Type: DBP DentistBoard Certified: YEmail: pludington@charter .netFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Onalaska (Cont.)

Orthodontist

GREY, SuzanneGreat River OrthodonticSpecialists Sc(800) 203-9067Prov. No.: 0000130120871845 E Main StOnalaska, WI 54650Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

FLOOD, TimTim Flood Dds(608) 781-9114Prov. No.: 000000133998801 Critter CtOnalaska, WI 54650Language: EnglishGender: MaleNPI: 1033108287License: 3975-15License Type: DBP DentistBoard Certified: YEmail: tlnelson@onatooth. comFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

West Salem

Orthodontist

GREY, SuzanneGreat River OrthodonticSpecialists Sc(608) 612-0249Prov. No.: 0000130203101403 Waterloo AveWest Salem, WI 54669Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MANITOWOC COUNTY

Manitowoc


NEWELL, Brandon E.Baycare Clinic Llp(920) 682-9121Prov. No.: 000012659111930 Maritime DrManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1619174877License: 1001664-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 682-7188Accepts New Patients: YHospital Affiliation: N/A*

RADOVAN, Andrew I.Aspen Dental(920) 686-3800Prov. No.: 0000127002814125 Harbor Town LnManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHUH, Michael J.Baycare Clinic Llp(920) 682-9121Prov. No.: 000000261632930 Maritime DrManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1760403570License: 4267License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 682-7188Accepts New Patients: YHospital Affiliation: N/A*


Manitowoc (Cont.)


SEUBERT, Chad R.Baycare Clinic Llp(920) 682-9121Prov. No.: 000012419777930 Maritime DrManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1396001483License: 1001261-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 682-7188Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Baycare Clinic Llp(920) 682-9121Prov. No.: 000012907756930 Maritime DrManitowoc, WI 54220Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 682-7188Accepts New Patients: YHospital Affiliation: N/A*

ZENT, Steve A.Baycare Clinic Llp(920) 682-9121Prov. No.: 000000263259930 Maritime DrManitowoc, WI 54220Language: EnglishGender: MaleNPI: 1174545982License: 5141License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 682-7188Accepts New Patients: YHospital Affiliation: N/A*

MARATHON COUNTY

Stratford

Orthodontist

MEINHARDT, Carl F.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012449785429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1871542696License: 2789-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROUTIER, Donald D.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012312774429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1780633867License: 4982-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

HORTON, William C.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012448149429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1811946239License: 5901-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Stratford (Cont.)


KWARCIANY, Donald A.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012438770429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1023118973License: 4883-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHEA, JohnDental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012533618429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1982719951License: 3034-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

BAUMGARTNER, Mark H.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012447799429 N 3rd AveStratford, WI 54484Language: EnglishGender: MaleNPI: 1265593107License: 6211-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Wausau


RADOVAN, Andrew I.Aspen Dental(315) 454-6000Prov. No.: 0000129770894113 Rib Mountain Dr �Wausau, WI 54401Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

SAPOVADIA, Parimal G.Wausau Oral Surgery andDental Implant Center Sc(608) 373-5995Prov. No.: 0000123355653000 Westhill Dr Ste 301Wausau, WI 54401Language: EnglishGender: MaleNPI: 1487609327License: 5943-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRONSKI, Robert J.Richard Hovda Dds(715) 842-5459Prov. No.: 000012841408519 N 17th AveWausau, WI 54401Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Wausau (Cont.)


CHOI, Catherine K.Richard Hovda Dds(715) 842-5459Prov. No.: 000012814510519 N 17th AveWausau, WI 54401Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GREY, SuzanneRichard Hovda Dds(715) 842-5459Prov. No.: 000012818768519 N 17th AveWausau, WI 54401Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MARINETTE COUNTY

Marinette


ELLIS, Charles L.Bay Oral Surgery and ImplantCenter Ltd(715) 732-0222Prov. No.: 0000120522362007 Marinette Ave �Marinette, WI 54143Language: EnglishGender: MaleNPI: 1013098698License: 7225-15License Type: DBP DentistBoard Certified: YEmail:Fax: (715) 732-2194Accepts New Patients: YHospital Affiliation: N/A*

MARINETTE COUNTY (Cont.)

Marinette (Cont.)


TALEB, RedaBay Oral Surgery and ImplantCenter Ltd(715) 732-0222Prov. No.: 0000129674632007 Marinette Ave �Marinette, WI 54143Language: EnglishGender: MaleNPI: 1114154143License: 1001896-15License Type: DBP DentistBoard Certified: YEmail:Fax: (715) 732-2194Accepts New Patients: YHospital Affiliation: N/A*

Niagara


ELLIS, Charles L.Bay Oral Surgery and ImplantCenter Ltd(715) 251-1818Prov. No.: 000012052238500 Roosevelt Rd �Niagara, WI 54151Language: EnglishGender: MaleNPI: 1013098698License: 7225-15License Type: DBP DentistBoard Certified: YEmail: [email protected] mFax: (715) 251-1816Accepts New Patients: YHospital Affiliation: N/A*

TALEB, RedaBay Oral Surgery and ImplantCenter(715) 251-1818Prov. No.: 000012967465500 Roosevelt RdNiagara, WI 54151Language: EnglishGender: MaleNPI: 1114154143License: 1001896-15License Type: DBP DentistBoard Certified: YEmail: [email protected] mFax: (715) 251-1816Accepts New Patients: YHospital Affiliation: N/A*



MILWAUKEE COUNTY

Franklin

Endodontist

SHARMA, HimanshuAdvanced Dental Specialists(414) 209-0337Prov. No.: 0000120309319130 W Loomis RdFranklin, WI 53132Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 209-0343Accepts New Patients: YHospital Affiliation: N/A*


LA SPISA, Joseph A.Dental Associates Ltd(414) 435-0787Prov. No.: 0000024616216855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1790891281License: 137000277License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

PASTUOVIC, Milan N.Dental Associates Ltd(414) 435-0787Prov. No.: 0000128713256855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)


WILSON, Bernadette L.Dental Associates Ltd ofWisconsin(414) 435-0787Prov. No.: 0000130696146855 S 27th StFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRANSHAW, NicolasDental Associates Ltd(414) 435-0787Prov. No.: 0000129402526855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

BUBON, Michael S.Bubon and AssociatesOrthodontics(262) 522-7447Prov. No.: 0000006627379130 W Loomis Rd Ste 600 �Franklin, WI 53132Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)


CONNOR, Colleen E.Deerwood Orthodontics Llc(414) 529-5200Prov. No.: 00000003732010058 W Loomis RdFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1770622300License: 4666-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 448-1087Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates Ltd(414) 435-0787Prov. No.: 0000126390956855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

WURM, Bradley J.Dental Associates Ltd(414) 435-0787Prov. No.: 0000126434676855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*


Franklin (Cont.)

Pediatric Dentistry

GOODELL, Laura E.Dental Associates Ltd ofWisconsin(414) 435-0787Prov. No.: 0000127758096855 S 27th StFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Dental Associates Ltd ofWisconsin(414) 435-0787Prov. No.: 0000129961366855 S 27th StFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

HASSAN, Joshua M.Dental Associates Ltd(414) 435-0787Prov. No.: 0000128148446855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*




Franklin (Cont.)


NIKOLOVA, GerganaDental Associates Ltd ofWisconsin(414) 435-0787Prov. No.: 0000131200686855 S 27th StFranklin, WI 53132Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDental Associates Ltd(414) 435-0787Prov. No.: 0000128973836855 S 27th StFranklin, WI 53132Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*

Prosthodontist

SIERRA, Jose A.Dental Associates Ltd(414) 435-0787Prov. No.: 0000127412586855 S 27th StFranklin, WI 53132Language: English, SpanishGender: MaleNPI: 1386095503License: 1001424-15License Type: DBP DentistBoard Certified: NEmail:Fax: (414) 435-5999Accepts New Patients: YHospital Affiliation: N/A*


Glendale

Endodontist

SHARMA, HimanshuAdvanced Dental Specialists(414) 963-2301Prov. No.: 000012031180500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 963-0413Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

LIPINSKI, James M.Deerwood Orthodontics Llc(414) 332-4900Prov. No.: 000000373032500 W Silver Spring Dr StE K250Glendale, WI 53217Language: EnglishGender: MaleNPI: 1346380979License: 3157-15License Type: DBP DentistBoard Certified: NEmail:Fax: (414) 332-4949Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

FROEHLICH, StephenForward Dental(414) 351-6010Prov. No.: 0000002596657040 N Port Washington RdSte 414Glendale, WI 53217Language: EnglishGender: MaleNPI: 1104973643License: 5001806-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 351-6146Accepts New Patients: YHospital Affiliation: N/A*


Greenfield


ALALAWI, Ejlal J.Dentalworks(414) 423-1540Prov. No.: 0000126335017995 W Layton AveGreenfield, WI 53220Language: EnglishGender: FemaleNPI: 1356645634License: 6477-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 423-0462Accepts New Patients: YHospital Affiliation: N/A*

Hales Corners

Pediatric Dentistry

SHETTY, VijayalakshmiWisconsin Dental Group ScDba Forward Dental(414) 427-0900Prov. No.: 0000002650055250 S 108th St Ste 200Hales Corners, WI 53130Language: EnglishGender: FemaleNPI: 1215094750License: 5289-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

NEWMAN, Dale A.Dale A Newman Sc(414) 427-0288Prov. No.: 00000011884010950 W Forest Home AveHales Corners, WI 53130Language: EnglishGender: MaleNPI: 1093803736License: 2940License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 427-0655Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee

Endodontist

BELARDI, David W.Endodontic Specialists of WiSc(414) 546-1900Prov. No.: 00000025894310401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1184879108License: 5000872-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*

DAVIS, JoshuaEndodontic Specialists of WiSc(414) 546-1900Prov. No.: 00001286782810401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: English, TagalogGender: FemaleNPI: 1932172988License: 5787License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*

HILT, BruceEndodontic Specialists of WiSc(414) 546-1900Prov. No.: 00000008965910401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1841508090License: 5520-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)

Endodontist (Cont.)

ISERMANN, Gregory T.Gregory T Isermann Dds MsSc(414) 481-7470Prov. No.: 0000001112814369 S Howell AveMilwaukee, WI 53207Language: EnglishGender: MaleNPI: 1821150418License: 1582License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 481-3490Accepts New Patients: YHospital Affiliation: N/A*

MCMURRAY, Geoffrey L.Endodontic Specialists of WiSc(414) 546-1900Prov. No.: 00001243084410401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1487969606License: 1001047-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*

MINDIOLA, Michael J.Endodontic Specialists of WiSc(414) 546-1900Prov. No.: 00001222751510401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1053474551License: 422015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)

Endodontist (Cont.)

OLSEN, Fred K.Endodontic Specialists of WiSc(414) 546-1900Prov. No.: 00000579290810401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1275873374License: 4387License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*

SHARMA, HimanshuAdvanced Dental Specialists(414) 475-1418Prov. No.: 0000120309292600 N Mayfair Rd Ste 101Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 475-1534Accepts New Patients: YHospital Affiliation: N/A*

URBANCZYK, RichardEndodontic Specialists of WiSc(414) 546-1900Prov. No.: 00000025835410401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1770899486License: 5534-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)

Endodontist (Cont.)

WATKINS, BrianEndodontic Specialists of WiSc(414) 546-1900Prov. No.: 00000566997710401 W Lincoln Ave Ste 2 �10Milwaukee, WI 53227Language: EnglishGender: MaleNPI: 1124006226License: 642115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 546-1901Accepts New Patients: YHospital Affiliation: N/A*


BLOCHER, Brian J.Brian J Blocher Dds(414) 607-0222Prov. No.: 000000023498201 N Mayfair Rd Ste 520 �Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1457416299License: 4002License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 607-0220Accepts New Patients: YHospital Affiliation: N/A*

KELLEY, Brian P.Brian Kelley(414) 321-0650Prov. No.: 0000129286036923 W Becher StMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1366423527License: 5197License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


PASTUOVIC, Milan N.Dental Associates Llc(414) 645-4540Prov. No.: 0000128713172100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

PASTUOVIC, Milan N.Dental Associates at Beerline(414) 435-5850Prov. No.: 000012871321220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*

PASTUOVIC, Milan N.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000012871322205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)


WILSON, Bernadette L.Dental Associates Llc(414) 645-4540Prov. No.: 0000130696102100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000013069615205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Dental Associates at Beerline(414) 435-5850Prov. No.: 000013069618220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)

Orthodontist

BELL, Gregory D.Bubon Orthodontics(262) 522-7447Prov. No.: 000012863436330 E Kilbourn AveMilwaukee, WI 53202Language: EnglishGender: MaleNPI: 1316234388License: 6200-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BRANSHAW, NicolasDental Associates Llc(414) 645-4540Prov. No.: 0000129402472100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

BRANSHAW, NicolasDental Associates at the IronBlock(414) 778-3600Prov. No.: 000012940254205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


BRANSHAW, NicolasDental Associates at Beerline(414) 435-5850Prov. No.: 000012940255220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*

BUBON, Michael S.Bubon and AssociatesOrthodontics Sc(262) 522-7447Prov. No.: 0000120174824220 S 27th St Ste 201 �Milwaukee, WI 53221Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*

BUBON, Michael S.Bubon & AssociatesOrthodontics Sc(414) 282-3250Prov. No.: 0000122576384950 S 27th StMilwaukee, WI 53221Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


BUBON, Michael S.Bubon Orthodontics(262) 522-7447Prov. No.: 000012863433330 E Kilbourn AveMilwaukee, WI 53202Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ROZNY, Kersden R.Bubon and AssociatesOrthodontics Sc(262) 522-7447Prov. No.: 0000120174814220 S 27th St Ste 201 �Milwaukee, WI 53221Language: EnglishGender: FemaleNPI: 1750692257License: 6660-15License Type: DBP DentistBoard Certified: NEmail:Fax: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*

ROZNY, Kersden R.Kersden R Rozny(414) 282-3250Prov. No.: 0000125021914950 S 27th StMilwaukee, WI 53221Language: EnglishGender: FemaleNPI: 1750692257License: 6660-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)


ROZNY, Kersden R.Bubon Orthodontics(262) 522-7447Prov. No.: 000012863435330 E Kilbourn AveMilwaukee, WI 53202Language: EnglishGender: FemaleNPI: 1750692257License: 6660-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SANFELIPPO, Lisa L.Familia Dental MkemitchellLlc(847) 701-1457Prov. No.: 000012509640821 S Layton BlvdMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

SANFELIPPO, Lisa L.Familia Dental River Glen Llc(888) 988-4066Prov. No.: 000012509641142 E Capitol DrMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


SANFELIPPO, Lisa L.Familia Dental MkemidtownLlc(888) 988-4066Prov. No.: 0000125096435341 W Fond Du Lac Ave �Milwaukee, WI 53216Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates at Beerline(414) 435-5850Prov. No.: 000012639097220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000012639098205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


WARNER, Gary A.Dental Associates Llc(414) 645-4540Prov. No.: 0000126391472100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

WURM, Bradley J.Dental Associates Llc(414) 645-4540Prov. No.: 0000126434612100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

WURM, Bradley J.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000012643468205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


WURM, Bradley J.Dental Associates at Beerline(414) 435-5850Prov. No.: 000012643471220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

GOODELL, Laura E.Dental Associates Ltd ofWisconsin(414) 778-3600Prov. No.: 000012775810205 E Wisconsin AveMilwaukee, WI 53202Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GOODELL, Laura E.Dental Associates Ltd ofWisconsin(414) 435-5850Prov. No.: 000012775816220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)


ROSE, Ronald B.Deanna Lyden(414) 365-9510Prov. No.: 0000127476556900 W Brown Deer RdMilwaukee, WI 53223Language: EnglishGender: MaleNPI: 1912014531License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHETTY, VijayalakshmiForward Dental(414) 327-6363Prov. No.: 0000002585128801 W National AveMilwaukee, WI 53227Language: EnglishGender: FemaleNPI: 1215094750License: 5289-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-6304Accepts New Patients: YHospital Affiliation: N/A*

SINGH, KiranDental Associates Llc(414) 645-4540Prov. No.: 0000124806842100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1851327852License: 357015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


THIRUMALA, Geetha D.Sweet Smiles Family Dentistry(414) 808-2003Prov. No.: 0000129439393113 S 13th StMilwaukee, WI 53215Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-2006Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Dental Associates Llc(414) 645-4540Prov. No.: 0000129961322100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000012996137205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)

Periodontist

HASSAN, Joshua M.Dental Associates Llc(414) 645-4540Prov. No.: 0000128148412100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

HASSAN, Joshua M.Dental Associates at the IronBlock(414) 778-3600Prov. No.: 000012814843205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

HASSAN, Joshua M.Dental Associates at Beerline(414) 435-5850Prov. No.: 000012814851220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


HELLER, Robert L.Robert L Heller Junior Dds Sc(262) 657-5777Prov. No.: 0000123210282600 N Mayfair RdMilwaukee, WI 53226Language: EnglishGender: MaleNPI: 1548390594License: 500031115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KELLEY, Thomas C.Thomas C Kelley Dds Msd Llc(262) 787-9075Prov. No.: 0000006893206923 W Becher StMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1770572828License: 5257-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaDental Associates Llc(414) 645-4540Prov. No.: 0000131200642100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*




Milwaukee (Cont.)


NIKOLOVA, GerganaDental Associates at the IronBlock(414) 778-3600Prov. No.: 000013120070205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaDental Associates Ltd ofWisconsin(414) 435-5850Prov. No.: 000013120071220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Gary M.Gary M Smith Dds Sc(414) 257-3170Prov. No.: 0000002818732500 N Mayfair Rd Ste 345Milwaukee, WI 53226Language: EnglishGender: MaleNPI: 1912045709License: 5000492-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)


STOIANOVICI, CharlesDental Associates Llc(414) 645-4540Prov. No.: 0000128973802100 Miller Park WayMilwaukee, WI 53219Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDental Associates at the IronBlock(414) 778-3600Prov. No.: 000012897384205 E Wisconsin Ave �Milwaukee, WI 53202Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 778-3636Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDental Associates at Beerline(414) 435-5850Prov. No.: 000012897390220 E Pleasant StMilwaukee, WI 53212Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 435-5864Accepts New Patients: YHospital Affiliation: N/A*


Milwaukee (Cont.)

Prosthodontist

MANOLI, Sadanand G.Sadanand Manoli(414) 383-1034Prov. No.: 0000000263851559 W Greenfield AveMilwaukee, WI 53204Language: EnglishGender: MaleNPI: 1629084165License: 5001575License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Oak Creek


ALALAWI, Ejlal J.Wisconsin Oral &Maxillofacial Surgery Llc(914) 325-5672Prov. No.: 0000129246062603 W Rawson Ave Ste 123Oak Creek, WI 53154Language: EnglishGender: FemaleNPI: 1356645634License: 6477-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KORTEBEIN, Mark J.Mark Kortebein(414) 764-2880Prov. No.: 0000127128377801 S Howell Ave Stop 3Oak Creek, WI 53154Language: EnglishGender: MaleNPI: 1336233790License: 4130-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oak Creek (Cont.)


RADOVAN, Andrew I.Aspen Dental(414) 762-5200Prov. No.: 0000126998628241 S Howell Ave Ste 100 �Oak Creek, WI 53154Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

Wauwatosa


PILLAI, Ajit V.Dental Associates Ltd(414) 771-2345Prov. No.: 00001206688011711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1285638643License: 556815License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Dental Associates Ltd ofWisconsin(414) 771-2345Prov. No.: 00001306960811711 W Burleigh StWauwatosa, WI 53222Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Wauwatosa (Cont.)

Orthodontist

BRANSHAW, NicolasDental Associates Ltd(414) 771-2345Prov. No.: 00001294024511711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

BUBON, Michael S.Bubon & AssociatesOrthodontics(262) 522-7447Prov. No.: 0000066606021701 N Mayfair Rd �Wauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*

POSER, Timothy J.Timothy J Poser Dds Ms Sc(414) 476-2244Prov. No.: 0000002831778736 W North AveWauwatosa, WI 53226Language: EnglishGender: MaleNPI: 1417126392License: 2616-15License Type: DBP DentistBoard Certified: YEmail:Fax: (414) 476-2245Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)


ROZNY, Kersden R.Bubon & AssociatesOrthodontics(262) 522-7447Prov. No.: 0000071929781701 N Mayfair Rd �Wauwatosa, WI 53226Language: EnglishGender: FemaleNPI: 1750692257License: 6660-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates Ltd(414) 771-2345Prov. No.: 00001263908611711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

WURM, Bradley J.Dental Associates Ltd(414) 771-2345Prov. No.: 00001264346011711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)

Pediatric Dentistry

THIRUMALA, Geetha D.Dental Associates Ltd ofWisconsin(414) 771-2345Prov. No.: 00001299613111711 W Burleigh StWauwatosa, WI 53222Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

HASSAN, Joshua M.Dental Associates Ltd(414) 771-2345Prov. No.: 00001281484011711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

MANOS, Thomas G.Dental Associates Ltd(414) 771-2345Prov. No.: 00000068938611711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1558588897License: 3562-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*


Wauwatosa (Cont.)


NIKOLOVA, GerganaDental Associates Ltd ofWisconsin(414) 771-2345Prov. No.: 00001312006211711 W Burleigh StWauwatosa, WI 53222Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDental Associates Ltd(414) 771-2345Prov. No.: 00001289737911711 W Burleigh St �Wauwatosa, WI 53222Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 777-3839Accepts New Patients: YHospital Affiliation: N/A*

West Allis


RAGONESE, Anthony L.Wisconsin Oral Surgery &Dental Implatns Sc(414) 327-4130Prov. No.: 00001256410410401 W Lincoln Ave Ste 101West Allis, WI 53227Language: EnglishGender: MaleNPI: 1649350398License: 542015License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 327-4218Accepts New Patients: YHospital Affiliation: N/A*




West Allis (Cont.)

Orthodontist

IYER, Kumar V.Kumar Iyer(414) 771-5100Prov. No.: 0000000420121421 S 108th St �West Allis, WI 53214Language: EnglishGender: MaleNPI: 1215157862License: 3019License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MACHI, Grace L.Grace L Machi Dds(414) 327-2250Prov. No.: 0000127101643044 S 92nd StWest Allis, WI 53227Language: EnglishGender: FemaleNPI: 1215084835License: 5001866License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 327-9878Accepts New Patients: YHospital Affiliation: N/A*

NAJJAR, Anas A.Najjar Orthodontics Sc(414) 771-5100Prov. No.: 0000121247331421 S 108th StWest Allis, WI 53214Language: EnglishGender: MaleNPI: 1366708430License: 100099115License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MONROE COUNTY

Cashton

Pediatric Dentistry

HANKS, Benjamin J.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012998433238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1578914255License: 1001369License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

HANKS, Jonathan M.Scenic Bluffs Health Center Inc(608) 654-5100Prov. No.: 000012441457238 Front St �Cashton, WI 54619Language: EnglishGender: MaleNPI: 1316268915License: 100117415License Type: DBP DentistBoard Certified: Not ReportedEmail: billing@scenicbuff s.orgFax: (608) 654-7408Accepts New Patients: YHospital Affiliation: N/A*

OUTAGAMIE COUNTY

Appleton

Endodontist

SHARMA, HimanshuAdvanced Dental Specialists(920) 954-8085Prov. No.: 0000120309503030 N Ballard RdAppleton, WI 54911Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)


BALLARD, Mary l.Aspen Dental(920) 830-4100Prov. No.: 0000120775153300 W College Ave �Appleton, WI 54914Language: EnglishGender: FemaleNPI: 1528381357License: 7206-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

KELLY, PatrickApple Creek Oral Surgery(920) 832-9500Prov. No.: 0000124722202410 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1326304528License: 100126015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KOLL, Timothy J.Apple Creek Oral Surgery(920) 832-9500Prov. No.: 0000000547862410 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1154403194License: 424315License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)


MEYERS, Christopher J.Advanced Dental Specialists(920) 954-8085Prov. No.: 0000006633103030 N Ballard RdAppleton, WI 54911Language: EnglishGender: MaleNPI: 1215094495License: 4306-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*

PASTUOVIC, Milan N.North Appleton Clinic(920) 734-2345Prov. No.: 0000128713162115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

PASTUOVIC, Milan N.Dental Associates Ltd(920) 730-0345Prov. No.: 0000128713184660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*




Appleton (Cont.)


PLAUTZ, HenryApple Creek Oral Surgery(920) 832-9500Prov. No.: 0000003089232410 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1376637579License: 500156515License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TABACHNICK, Thomas T.Live Life Smiling FamilyDentistry- Appleton(800) 293-3212Prov. No.: 0000124519413919 W Prospect Ave Ste 1 �01Appleton, WI 54914Language: EnglishGender: MaleNPI: 1871666065License: 5000840-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Dental Associates Ltd(920) 730-0345Prov. No.: 0000130696094660 W College AveAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)


WILSON, Bernadette L.North Appleton Clinic(920) 734-2345Prov. No.: 0000130696112115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRANSHAW, NicolasDental Associates Ltd(920) 730-0345Prov. No.: 0000129402464660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

BRANSHAW, NicolasNorth Appleton Clinic(920) 734-2345Prov. No.: 0000129402482115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)


WARNER, Gary A.Dental Associates Ltd(920) 730-0345Prov. No.: 0000126390874660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.North Appleton Clinic(920) 734-2345Prov. No.: 0000126390882115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

WURM, Bradley J.Dental Associates Ltd(920) 730-0345Prov. No.: 0000126434634660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)


WURM, Bradley J.North Appleton Clinic(920) 734-2345Prov. No.: 0000126434642115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

GOODELL, Laura E.Dental Associates Ltd(920) 730-0345Prov. No.: 0000127758114660 W College AveAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

GOODELL, Laura E.North Appleton Clinic(920) 734-2345Prov. No.: 0000127758122115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*




Appleton (Cont.)


THIRUMALA, Geetha D.David Blong Dds(920) 730-0345Prov. No.: 0000129961394660 W College AveAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.North Appleton Clinic(920) 734-2345Prov. No.: 0000129961432115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

HASSAN, Joshua M.Dental Associates Ltd(920) 730-0345Prov. No.: 0000128148464660 W College AveAppleton, WI 54913Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)


HASSAN, Joshua M.North Appleton Clinic(920) 734-2345Prov. No.: 0000128148472115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaDental Associates Ltd(920) 730-0345Prov. No.: 0000131200634660 W College AveAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-0155Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaNorth Appleton Clinic(920) 734-2345Prov. No.: 0000131200652115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 734-5651Accepts New Patients: YHospital Affiliation: N/A*


Appleton (Cont.)


PATTERSON, Gerald D.Advanced Dental Specialists(920) 954-8085Prov. No.: 0000006631343030 N Ballard RdAppleton, WI 54911Language: EnglishGender: MaleNPI: 1649337395License: 5001221-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 954-9080Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesRichard Kling Dds(920) 734-2345Prov. No.: 0000128973862115 E Evergreen DrAppleton, WI 54913Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Greenville


PASTUOVIC, Milan N.Dental Associates Ltd(920) 757-0100Prov. No.: 000012871314N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*


Greenville (Cont.)


WILSON, Bernadette L.Dental Associates Ltd(920) 757-0100Prov. No.: 000013069616N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRANSHAW, NicolasDental Associates Ltd(920) 757-0100Prov. No.: 000012940249N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates Ltd(920) 757-0100Prov. No.: 000012639092N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*




Greenville (Cont.)


WURM, Bradley J.Dental Associates Ltd(920) 757-0100Prov. No.: 000012643465N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

GOODELL, Laura E.Dental Associates Ltd(920) 757-0100Prov. No.: 000012775813N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Dental Associates Ltd(920) 757-0100Prov. No.: 000012996144N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*


Greenville (Cont.)

Periodontist

HASSAN, Joshua M.Dental Associates Ltd(920) 757-0100Prov. No.: 000012814848N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaDental Associates Ltd(920) 757-0100Prov. No.: 000013120066N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

STOIANOVICI, CharlesDental Associates Ltd(920) 757-0100Prov. No.: 000012897387N1737 Lily of the ValleyDrGreenville, WI 54942Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 757-0200Accepts New Patients: YHospital Affiliation: N/A*

OZAUKEE COUNTY

Grafton

Pediatric Dentistry

THIRUMALA, Geetha D.Sweet Smiles Family DentistryLlc(262) 377-0807Prov. No.: 0000129439381300 Bridge StGrafton, WI 53024Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (262) 377-9978Accepts New Patients: YHospital Affiliation: N/A*

Mequon

Endodontist

BELARDI, David W.Endodontic Specialists of WiSc(262) 241-8300Prov. No.: 00000579309510532 N Port Washington R �DMequon, WI 53092Language: EnglishGender: MaleNPI: 1184879108License: 5000872-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 241-8302Accepts New Patients: YHospital Affiliation: N/A*


Mequon (Cont.)

Endodontist (Cont.)

DAVIS, JoshuaEndodontic Specialists of WiSc(262) 241-8300Prov. No.: 00001287252310532 N Port Washington R �DMequon, WI 53092Language: English, TagalogGender: FemaleNPI: 1932172988License: 5787License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-8302Accepts New Patients: YHospital Affiliation: N/A*

HILT, BruceEndodontic Specialists of WiSc(262) 241-8300Prov. No.: 00000068950810532 N Port Washington R �DMequon, WI 53092Language: EnglishGender: MaleNPI: 1841508090License: 5520-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-8302Accepts New Patients: YHospital Affiliation: N/A*

MINDIOLA, Michael J.Endodontic Specialists of WiSc(262) 241-8300Prov. No.: 00001222751110532 N Port Washington R �DMequon, WI 53092Language: EnglishGender: MaleNPI: 1053474551License: 422015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-8302Accepts New Patients: YHospital Affiliation: N/A*




Mequon (Cont.)

Endodontist (Cont.)

OLSEN, Fred K.Endodontic Specialists of WiSc(262) 241-8300Prov. No.: 00000579311710532 N Port Washington R �DMequon, WI 53092Language: EnglishGender: MaleNPI: 1275873374License: 4387License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 241-8302Accepts New Patients: YHospital Affiliation: N/A*

URBANCZYK, RichardEndodontic Specialists of WiSc(262) 241-8300Prov. No.: 00000069211910532 N Port Washington R �DMequon, WI 53092Language: EnglishGender: MaleNPI: 1770899486License: 5534-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 241-8302Accepts New Patients: YHospital Affiliation: N/A*

WATKINS, BrianEndodontic Specialists of WiSc(262) 241-8300Prov. No.: 00000110582110532 N Port Washington R �DMequon, WI 53092Language: EnglishGender: MaleNPI: 1124006226License: 642115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-8302Accepts New Patients: YHospital Affiliation: N/A*


Mequon (Cont.)


KIMMEL, Alan A.Dr Sheppard B Molloack & DrMark J Kortebam(262) 241-0900Prov. No.: 00000035259910535 N Port Washington RD Ste 102Mequon, WI 53092Language: EnglishGender: MaleNPI: 1760576128License: 5969License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 241-0904Accepts New Patients: YHospital Affiliation: N/A*

KORTEBEIN, Mark J.Oral Surgery Associates ofMilwaukeesc(262) 241-0900Prov. No.: 00000025709310535 N Port Washington RD Ste 102Mequon, WI 53092Language: EnglishGender: MaleNPI: 1336233790License: 4130-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 241-0904Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

MACHI, Grace L.Grace Machi(262) 240-0300Prov. No.: 00000020846010945 N Port Washington RDMequon, WI 53092Language: EnglishGender: FemaleNPI: 1215084835License: 5001866License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Mequon (Cont.)

Pediatric Dentistry

MIELKE, Timothy R.Wisconsin Dental Group ScDba Forward Dental(414) 427-0900Prov. No.: 0000121887696048 W Mequon RdMequon, WI 53092Language: EnglishGender: MaleNPI: 1144298266License: 5001477-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 427-1828Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

SHIH, Denise Y.Mequon Dental Group Llc(262) 241-4460Prov. No.: 00000505982710555 N Port Washington R �DMequon, WI 53092Language: EnglishGender: FemaleNPI: 1891903043License: 6469-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 241-4486Accepts New Patients: NHospital Affiliation: N/A*

Prosthodontist

STOIBER, Don A.Don A Stoiber Dds Sc(262) 240-0405Prov. No.: 00000031083110303 N Port Washington R �D Ste 103AMequon, WI 53092Language: EnglishGender: MaleNPI: 1184812836License: 393815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 240-0434Accepts New Patients: YHospital Affiliation: N/A*

PIERCE COUNTY

River Falls

Orthodontist

BRONSKI, Robert J.Kristo Ltd(715) 835-5182Prov. No.: 0000128414171561 Commerce Ct Ste 200River Falls, WI 54022Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CHOI, Catherine K.Kristo Ltd(715) 835-5182Prov. No.: 0000128145201561 Commerce Ct Ste 200River Falls, WI 54022Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GREY, SuzanneKristo Ltd(715) 835-5182Prov. No.: 0000128187761561 Commerce Ct Ste 200River Falls, WI 54022Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



PIERCE COUNTY (Cont.)

River Falls (Cont.)


HOVDA, RichardKristo Ltd(715) 835-5182Prov. No.: 0000128190521561 Commerce Ct Ste 200River Falls, WI 54022Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

POLK COUNTY

Amery

Endodontist

WACHLAROWICZ, Aaron J.River Heights Endodontics(715) 268-5030Prov. No.: 000004475230404 Wisconsin AveAmery, WI 54001Language: EnglishGender: MaleNPI: 1598735474License: 6989-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRONSKI, Robert J.Kristo Ltd(715) 268-8109Prov. No.: 000012841419404 Wisconsin AveAmery, WI 54001Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

POLK COUNTY (Cont.)

Amery (Cont.)


CHOI, Catherine K.Kristo Ltd(715) 268-8109Prov. No.: 000012814524404 Wisconsin AveAmery, WI 54001Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GREY, SuzanneKristo Ltd(715) 268-8109Prov. No.: 000012818778404 Wisconsin AveAmery, WI 54001Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOVDA, RichardKristo Ltd(715) 268-8109Prov. No.: 000012819054404 Wisconsin AveAmery, WI 54001Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RACINE COUNTY

Mount Pleasant

Endodontist

ISERMANN, Gregory T.Gregory T Isermann Dds MsSc(262) 554-7782Prov. No.: 0000001112805439 Durand Ave Ste 215Mount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1821150418License: 1582License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

OLSEN, Fred K.Racine Dental Group Sc(262) 637-9370Prov. No.: 0000040295331101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1275873374License: 4387License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 637-0576Accepts New Patients: YHospital Affiliation: N/A*

SHARMA, HimanshuAdvanced Dental Specialists(262) 886-1300Prov. No.: 0000120309246218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 963-0413Accepts New Patients: YHospital Affiliation: N/A*


Mount Pleasant (Cont.)


RADOVAN, Andrew I.Aspen Dental(262) 886-9700Prov. No.: 0000126999352860 S Green Bay Rd Ste 104Mount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

TIBORIS, Dean E.Racine Dental Group(262) 637-9371Prov. No.: 0000120922591101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1003139700License: 7210-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (262) 619-7727Accepts New Patients: YHospital Affiliation: N/A*

WAGNER, Richard M.Richard M Wagner Dds(262) 634-4646Prov. No.: 0000003368911925 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1770700957License: 3092-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (262) 634-4694Accepts New Patients: YHospital Affiliation: N/A*





Orthodontist

EVANGELISTA, Maylani B.Deerwood Orthodontics Llc(262) 632-3300Prov. No.: 0000003584131532 S Green Bay Rd Ste 100Mount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1679612204License: 5469-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 632-7124Accepts New Patients: YHospital Affiliation: N/A*

LABLONDE, Brian P.Idental Llc(262) 223-0280Prov. No.: 0000125234671320 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1518215318License: 1001443License Type: DBP DentistBoard Certified: Not ReportedEmail: idental1320@gmail. comFax: (262) 223-0281Accepts New Patients: YHospital Affiliation: N/A*

MACHI, Grace L.Grace L Machi Dds(262) 635-8500Prov. No.: 0000001200701532 S Green Bay Rd Ste 100Mount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1215084835License: 5001866License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




SANFELIPPO, Lisa L.Familia Dental Racine Llc(888) 988-4066Prov. No.: 0000125094365201 Washington AveMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

DOVORANY, John M.John M Dovorany Dds Sc(414) 884-0510Prov. No.: 0000000872755425 Spring StMount Pleasant, WI 53406Language: EnglishGender: MaleNPI: 1740343086License: 5000512-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

QUIZON, Jennifer A.Racine Dental Group(262) 637-9371Prov. No.: 0000001043441101 S Airline RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1235264623License: 4621License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 619-7727Accepts New Patients: YHospital Affiliation: N/A*




THIRUMALA, Geetha D.Sweet Smiles Family DentistryLlc(262) 672-2393Prov. No.: 0000129439401515 S Green Bay RdMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (262) 672-6737Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

STACKER, Susan A.Advanced Dental Specialists(262) 886-1300Prov. No.: 0000007114386218 Washington Ave Ste CMount Pleasant, WI 53406Language: EnglishGender: FemaleNPI: 1306903786License: 4828-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 963-0413Accepts New Patients: YHospital Affiliation: N/A*

Sturtevant


PASTUOVIC, Milan N.Dental Associates Ltd(262) 884-3011Prov. No.: 00001287131310155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)


WILSON, Bernadette L.Dental Associates Ltd ofWisconsin(877) 251-0240Prov. No.: 00001306961310155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BRANSHAW, NicolasDental Associates Ltd(262) 884-3011Prov. No.: 00001294025010155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

WARNER, Gary A.Dental Associates Ltd(262) 884-3011Prov. No.: 00001263909310155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*




Sturtevant (Cont.)


WURM, Bradley J.Dental Associates Ltd(262) 884-3011Prov. No.: 00001264398910155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

DUFRESNE, AlineDental Associates Ltd(262) 884-3011Prov. No.: 00001247034210155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1376980300License: 100142215License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

GOODELL, Laura E.Dental Associates Ltd ofWisconsin(877) 251-0240Prov. No.: 00001277580810155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)


THIRUMALA, Geetha D.Dental Associates Ltd ofWisconsin(877) 251-0240Prov. No.: 00001299611210155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

HASSAN, Joshua M.Dental Associates Ltd(262) 884-3011Prov. No.: 00001281482310155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaDental Associates Ltd ofWisconsin(877) 251-0240Prov. No.: 00001312006710155 Washington AveSturtevant, WI 53177Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Sturtevant (Cont.)


STOIANOVICI, CharlesDental Associates Ltd(262) 884-3011Prov. No.: 00001289738210155 Washington AveSturtevant, WI 53177Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 664-7799Accepts New Patients: YHospital Affiliation: N/A*

Union Grove

Endodontist

BEHM, Bryan J.The Family Dentist Sc(262) 878-1500Prov. No.: 0000126107351680 15th Ave �Union Grove, WI 53182Language: EnglishGender: MaleNPI: 1578841474License: 6710015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 878-4782Accepts New Patients: YHospital Affiliation: N/A*

LUNDSTROM, John R.The Family Dentist Sc(262) 878-1500Prov. No.: 0000121147431680 15th Ave �Union Grove, WI 53182Language: EnglishGender: MaleNPI: 1326011065License: 6805-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (262) 878-4782Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY

Beloit

Orthodontist

IYER, Kumar V.Kumar V Iyer Dds(608) 362-6969Prov. No.: A000000169432101 S Riverside DrBeloit, WI 53511Language: EnglishGender: MaleNPI: 1215157862License: 3019License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 771-2513Accepts New Patients: YHospital Affiliation: N/A*

NAJJAR, Anas A.Najjar Orthodontics Sc(414) 771-5100Prov. No.: 0000125191872359 Murphy Woods RdBeloit, WI 53511Language: EnglishGender: MaleNPI: 1366708430License: 100099115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Janesville

Endodontist

BELARDI, David W.Endodontic Specialists of WiSc(608) 755-9900Prov. No.: 000000258944519 Midland Ct Ste 4 �Janesville, WI 53546Language: EnglishGender: MaleNPI: 1184879108License: 5000872-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 755-1040Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Janesville (Cont.)

Endodontist (Cont.)

DAVIS, JoshuaEndodontic Specialists of WiSc(608) 755-9900Prov. No.: 000012872524519 Midland Ct Ste 4 �Janesville, WI 53546Language: English, TagalogGender: FemaleNPI: 1932172988License: 5787License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 755-1040Accepts New Patients: YHospital Affiliation: N/A*

HILT, BruceEndodontic Specialists of WiSc(608) 755-9900Prov. No.: 000000407044519 Midland Ct Ste 4 �Janesville, WI 53546Language: EnglishGender: MaleNPI: 1841508090License: 5520-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 755-1040Accepts New Patients: YHospital Affiliation: N/A*

MINDIOLA, Michael J.Endodontic Specialists of WiSc(608) 755-9900Prov. No.: 000012227506519 Midland Ct Ste 4 �Janesville, WI 53546Language: EnglishGender: MaleNPI: 1053474551License: 422015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 755-1040Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)

Endodontist (Cont.)

OLSEN, Fred K.Endodontic Specialists of WiSc(608) 755-9900Prov. No.: 000005793115519 Midland Ct Ste 4 �Janesville, WI 53546Language: EnglishGender: MaleNPI: 1275873374License: 4387License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 755-1040Accepts New Patients: YHospital Affiliation: N/A*

SCHMOLDT, StevenSteven J Schmoldt(608) 314-9000Prov. No.: 0000120663281616 N Randall AveJanesville, WI 53545Language: EnglishGender: MaleNPI: 1255328068License: 5880-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

URBANCZYK, RichardEndodontic Specialists of WiSc(608) 755-9900Prov. No.: 000000464096519 Midland Ct Ste 4 �Janesville, WI 53546Language: EnglishGender: MaleNPI: 1770899486License: 5534-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (608) 755-1040Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)

Endodontist (Cont.)

WATKINS, BrianEndodontic Specialists of WiSc(608) 755-9900Prov. No.: 000001558226519 Midland Ct Ste 4 �Janesville, WI 53546Language: EnglishGender: MaleNPI: 1124006226License: 642115License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (608) 755-1040Accepts New Patients: YHospital Affiliation: N/A*


GAMS, Kevin C.Premier Oral & MaxillofacialSurgery Sc(608) 756-8744Prov. No.: 0000128551731602 N Randall Ave �Janesville, WI 53545Language: EnglishGender: MaleNPI: 1518228816License: 1001172License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (608) 756-5344Accepts New Patients: YHospital Affiliation: N/A*

KHADER, RubaPremier Oral & MaxillofacialSurgery Sc(608) 756-8744Prov. No.: 0000129972121602 N Randall Ave �Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1992976427License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (608) 756-5344Accepts New Patients: YHospital Affiliation: N/A*

ROCK COUNTY (Cont.)

Janesville (Cont.)


MEISTER, Richard D.Premier Oral & MaxillofacialSurgery(608) 756-8744Prov. No.: 0000002672651602 N Randall Ave �Janesville, WI 53545Language: EnglishGender: MaleNPI: 1790886208License: 4784-15License Type: DBP DentistBoard Certified: YEmail:Fax: (608) 756-5344Accepts New Patients: YHospital Affiliation: N/A*

RADOVAN, Andrew I.Aspen Dental(608) 302-4444Prov. No.: 0000127002733131 Milton Ave Ste 190Janesville, WI 53545Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

SWANTEK, Jason J.Premier Oral & MaxillofacialSurgery Sc(608) 756-8744Prov. No.: 0000015351021602 N Randall Ave �Janesville, WI 53545Language: EnglishGender: MaleNPI: 1033200118License: 6797-15License Type: DBP DentistBoard Certified: YEmail:Fax: (608) 756-5344Accepts New Patients: YHospital Affiliation: N/A*



ROCK COUNTY (Cont.)

Janesville (Cont.)

Orthodontist

SANFELIPPO, Lisa L.Familia Dental Janesville Llc(888) 988-4066Prov. No.: 0000125096531260 Milton Ave Ste 140Janesville, WI 53545Language: EnglishGender: FemaleNPI: 1114278579License: 4429-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (847) 496-4850Accepts New Patients: YHospital Affiliation: N/A*

SAINT CROIX COUNTY

Baldwin

Orthodontist

BRONSKI, Robert J.Kristo Ltd(715) 835-5182Prov. No.: 0000128414181460 10th Ave Ste BBaldwin, WI 54002Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CHOI, Catherine K.Kristo Ltd(715) 835-5182Prov. No.: 0000128145221460 10th Ave Ste BBaldwin, WI 54002Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Baldwin (Cont.)


GREY, SuzanneKristo Ltd(715) 835-5182Prov. No.: 0000128187771460 10th Ave Ste BBaldwin, WI 54002Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOVDA, RichardKristo Ltd(715) 835-5182Prov. No.: 0000128190531460 10th Ave Ste BBaldwin, WI 54002Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Hudson

Endodontist

WACHLAROWICZ, Aaron J.River Heights Endodontics(715) 386-8070Prov. No.: 0000044752291200 Crest View DrHudson, WI 54016Language: EnglishGender: MaleNPI: 1598735474License: 6989-15License Type: DBP DentistBoard Certified: YEmail:Fax: (715) 386-8958Accepts New Patients: YHospital Affiliation: N/A*


Hudson (Cont.)

Pediatric Dentistry

BEINLICH, Tyler G.St Croix Kidds PediatricDentistry(715) 808-0460Prov. No.: 000012475027400 2nd St S Ste 250Hudson, WI 54016Language: EnglishGender: MaleNPI: 1720426877License: 1001269-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 808-0142Accepts New Patients: YHospital Affiliation: N/A*

KINDER, MeganSt Croix Kidds PediatricDentistry(715) 808-0460Prov. No.: 000002538791400 2nd St Ste 250Hudson, WI 54016Language: EnglishGender: FemaleNPI: 1760748941License: 6801-15License Type: DBP DentistBoard Certified: YEmail:Fax: (715) 808-0142Accepts New Patients: YHospital Affiliation: N/A*

KINDER, MeganSt Croix Kidds PediatricDentistry(715) 808-0460Prov. No.: 000012324677400 2nd St S Ste 250Hudson, WI 54016Language: EnglishGender: FemaleNPI: 1760748941License: 6801-15License Type: DBP DentistBoard Certified: YEmail:Fax: (715) 808-0142Accepts New Patients: YHospital Affiliation: N/A*


Hudson (Cont.)


RINDELAUB, Darcy J.St Croix Kidds PediatricDentistry(715) 808-0460Prov. No.: 000012314731400 2nd St S Ste 250Hudson, WI 54016Language: EnglishGender: FemaleNPI: 1639126683License: 6666015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 808-0142Accepts New Patients: YHospital Affiliation: N/A*

New Richmond

Orthodontist

BRONSKI, Robert J.Kristo Ltd(715) 246-5165Prov. No.: 000012841410227 Meridian Dr Ste 2New Richmond, WI 54017Language: EnglishGender: MaleNPI: 1619987013License: 4996License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CHOI, Catherine K.Kristo Ltd(715) 246-5165Prov. No.: 000012814511227 Meridian Dr Ste 2New Richmond, WI 54017Language: EnglishGender: FemaleNPI: 1669905188License: 1001494License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




New Richmond (Cont.)


GREY, SuzanneKristo Ltd(715) 246-5165Prov. No.: 000012818769227 Meridian Dr Ste 2New Richmond, WI 54017Language: EnglishGender: FemaleNPI: 1447750088License: 1001716License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOVDA, RichardKristo Ltd(715) 246-5165Prov. No.: 000012819045227 Meridian Dr Ste 2New Richmond, WI 54017Language: EnglishGender: MaleNPI: 1669690475License: 3774License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SAUK COUNTY

Baraboo

Periodontist

LAU, CharlesHo-Chuck Healthcare Center(608) 355-1240Prov. No.: 000013211078S2845 White Eagle RdBaraboo, WI 53913Language: EnglishGender: MaleNPI: 1871519579License: 6136License Type: DBP DentistBoard Certified: NEmail: liz.lund@ho-chunk. comFax: (608) 355-9643Accepts New Patients: YHospital Affiliation: N/A*

SHAWANO COUNTY

Shawano


SCHUH, Michael J.Baycare Clinic Llp(715) 524-2001Prov. No.: 000000278647920 E 5th StShawano, WI 54166Language: EnglishGender: MaleNPI: 1760403570License: 4267License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 524-6267Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

DOVORANY, John M.John M Dovorany Dds(715) 524-8878Prov. No.: 0000003537231488 E Green Bay StShawano, WI 54166Language: EnglishGender: MaleNPI: 1740343086License: 5000512-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (715) 524-8886Accepts New Patients: YHospital Affiliation: N/A*

SHEBOYGAN COUNTY

Sheboygan

Endodontist

BELARDI, David W.Endodontic Specialists of WiSc(920) 452-9550Prov. No.: 0000000896603314 Superior Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1184879108License: 5000872-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 452-9292Accepts New Patients: YHospital Affiliation: N/A*

DAVIS, JoshuaEndodontic Specialists of WiSc(920) 452-9550Prov. No.: 0000128689363314 Superior Ave �Sheboygan, WI 53081Language: English, TagalogGender: FemaleNPI: 1932172988License: 5787License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 452-9292Accepts New Patients: YHospital Affiliation: N/A*

HILT, BruceEndodontic Specialists of WiSc(920) 452-9550Prov. No.: 0000002575343314 Superior Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1841508090License: 5520-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 452-9292Accepts New Patients: YHospital Affiliation: N/A*


Sheboygan (Cont.)

Endodontist (Cont.)

MINDIOLA, Michael J.Endodontic Specialists of WiSc(920) 452-9550Prov. No.: 0000122275123314 Superior Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1053474551License: 422015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (920) 452-9292Accepts New Patients: YHospital Affiliation: N/A*

OLSEN, Fred K.Endodontic Specialists of WiSc(920) 452-9550Prov. No.: 0000057929053314 Superior Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1275873374License: 4387License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 452-9292Accepts New Patients: YHospital Affiliation: N/A*

URBANCZYK, RichardEndodontic Specialists of WiSc(920) 452-9550Prov. No.: 0000002575373314 Superior Ave �Sheboygan, WI 53081Language: EnglishGender: MaleNPI: 1770899486License: 5534-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: (920) 452-9292Accepts New Patients: YHospital Affiliation: N/A*




Sheboygan (Cont.)


RADOVAN, Andrew I.Aspen Dental(920) 892-6961Prov. No.: 0000126999203064 S Business DrSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

SHOWS, William M.William M Shows Dmd Ms Sc(920) 457-2267Prov. No.: 0000002096753612 Erie AveSheboygan, WI 53081Language: EnglishGender: MaleNPI: 1538363445License: 2885License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

VERNON COUNTY

Viroqua


LUDINGTON, DavidDavid Ludington Dds(608) 782-8193Prov. No.: 000012926956407 S Main StViroqua, WI 54665Language: EnglishGender: MaleNPI: 1770570624License: 5106License Type: DBP DentistBoard Certified: YEmail:Fax: (608) 782-4517Accepts New Patients: YHospital Affiliation: N/A*

WALWORTH COUNTY

Lake Geneva

Endodontist

FERREIRA, Michael D.Racine Dental Group Sc(262) 248-1601Prov. No.: 000012269199851 Park Dr Ste 103Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1265419378License: 7195-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


RADOVAN, Andrew I.Aspen Dental(262) 203-8125Prov. No.: 000012971572281 North Edwards BlvdLake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TIBORIS, Dean E.Racine Dental Group Sc(262) 248-1601Prov. No.: 000012262992851 Park Dr Ste 103Lake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1003139700License: 7210-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Lake Geneva (Cont.)

Pediatric Dentistry

QUIZON, Jennifer A.Lake Geneva Dental(262) 248-2773Prov. No.: 000012056017580 Broad St �Lake Geneva, WI 53147Language: EnglishGender: FemaleNPI: 1235264623License: 4621License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 248-3895Accepts New Patients: YHospital Affiliation: N/A*

QUIZON, Jennifer A.Racine Dental Group Sc(262) 248-1601Prov. No.: 000012058637851 Park Dr Ste 103 �Lake Geneva, WI 53147Language: EnglishGender: FemaleNPI: 1235264623License: 4621License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 248-3639Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

NADING, Thomas H.Nading Periodontics(262) 248-8505Prov. No.: 000000002557255 Havenwood DrLake Geneva, WI 53147Language: EnglishGender: MaleNPI: 1316270465License: 1290License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 248-3639Accepts New Patients: YHospital Affiliation: N/A*

WASHINGTON COUNTY

Germantown


RADOVAN, Andrew I.Aspen Dental(262) 677-3700Prov. No.: 000012699857W183N9609 Appleton Ave �Germantown, WI 53022Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

KOPICKI, Erin N.Erin Kopicki(262) 255-4922Prov. No.: 000012123888N112W16760 Mequon RdGermantown, WI 53022Language: EnglishGender: FemaleNPI: 1871871699License: 6778-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

POSER, Timothy J.Timothy J Poser Dds Ms Sc(262) 255-6255Prov. No.: 000000227907W156N11365 Pilgrim RdGermantown, WI 53022Language: EnglishGender: MaleNPI: 1417126392License: 2616-15License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 255-6265Accepts New Patients: YHospital Affiliation: N/A*




Slinger


SCHMIDT, Joseph M.Oral and Maxillofacial SurgeryA(262) 222-5599Prov. No.: 000012905798100 E Commerce Blvd Ste BSlinger, WI 53086Language: EnglishGender: MaleNPI: 1912014697License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (262) 222-5288Accepts New Patients: YHospital Affiliation: N/A*

West Bend

Endodontist

ISERMANN, Gregory T.Gregory T Isermann Dds MsSc(414) 481-7470Prov. No.: 000000111279341 W Paradise DrWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1821150418License: 1582License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 334-0626Accepts New Patients: YHospital Affiliation: N/A*


AMBROOKIAN, Henry N.Henry N Ambrookian Dds(262) 334-7172Prov. No.: 0000003724941201 Oak StWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1295841203License: 5001837-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 334-7166Accepts New Patients: YHospital Affiliation: N/A*


West Bend (Cont.)


BROTKOWSKI, Eddie K.Oral Surgery Associates Ltd(262) 335-8828Prov. No.: 0000129101292100 Gateway Ct Ste 101West Bend, WI 53095Language: EnglishGender: MaleNPI: 1003100470License: 1001767License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 335-2296Accepts New Patients: YHospital Affiliation: N/A*

JENSEN, Guy K.Oral Surgery Assoc Ltd(262) 335-2282Prov. No.: 0000000834112100 Gateway Ct Ste 101West Bend, WI 53095Language: EnglishGender: MaleNPI: 1225137227License: 5001856License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RADOVAN, Andrew I.Aspen Dental(262) 346-2020Prov. No.: 0000126998831721 S Main St �West Bend, WI 53095Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 334-7392Accepts New Patients: YHospital Affiliation: N/A*


West Bend (Cont.)


RYAN, DoranOral Surgery Assoc Ltd(262) 335-2282Prov. No.: 0000129050922100 Gateway Ct Ste 101West Bend, WI 53095Language: EnglishGender: MaleNPI: 1710939491License: 2787License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHMIDT, David P.Oral Surgery Associates Ltd(262) 335-8828Prov. No.: 0000011032552100 Gateway Ct Ste 101West Bend, WI 53095Language: EnglishGender: MaleNPI: 1346403235License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 335-2296Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

FROEHLICH, StephenForward Dental(262) 346-2170Prov. No.: 0000122438021006 S Main StWest Bend, WI 53095Language: EnglishGender: MaleNPI: 1104973643License: 5001806-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 346-2294Accepts New Patients: YHospital Affiliation: N/A*

WAUKESHA COUNTY

Brookfield


ALALAWI, Ejlal J.Dcp of Wisconsin BrookfeildSquare(262) 785-1402Prov. No.: 00001218009315375 W Bluemound Rd Ste150Brookfield, WI 53005Language: EnglishGender: FemaleNPI: 1356645634License: 6477-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (216) 584-1018Accepts New Patients: YHospital Affiliation: N/A*

BALLARD, Mary l.Aspen Dental(262) 792-1100Prov. No.: 00001207707812455 W Capitol DrBrookfield, WI 53005Language: EnglishGender: FemaleNPI: 1528381357License: 7206-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

WALLOCK, Robert A.Elmbrook Oral & MaxillofacialSurgery(262) 784-0053Prov. No.: 00000035806412720 W North Ave �Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1952599573License: 413815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 784-0757Accepts New Patients: YHospital Affiliation: N/A*




Brookfield (Cont.)

Orthodontist

BUBON, Michael S.Bubon & AssociatesOrthodontics Sc(262) 522-7447Prov. No.: 00001254216117185 W North Ave �Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

MIELKE, Timothy R.Forward Dental(262) 373-0344Prov. No.: 00001218866715680 W Capitol Dr Ste 203Brookfield, WI 53005Language: EnglishGender: MaleNPI: 1144298266License: 5001477-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 373-0343Accepts New Patients: YHospital Affiliation: N/A*

Periodontist

KELLEY, Thomas C.Thomas Kelley(262) 787-9075Prov. No.: 00000019369317280 W North Ave Ste 203Brookfield, WI 53045Language: EnglishGender: MaleNPI: 1770572828License: 5257-15License Type: DBP DentistBoard Certified: NEmail: kelleyperio@gmail. comFax: (414) 964-5401Accepts New Patients: YHospital Affiliation: N/A*


Delafield

Orthodontist

BUBON, Michael S.Michael S Bubon Dds Ms andAssoc Sc(262) 522-7447Prov. No.: 00000046456211 Crossroads Ct �Delafield, WI 53018Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*

Elm Grove

Orthodontist

VAN WESTEN, Luciana Alice M.Van Westen Orthodontics(262) 439-8233Prov. No.: 00001222749612888 W Bluemound RdElm Grove, WI 53122Language: English,Portuguese, SpanishGender: FemaleNPI: 1962506964License: 610215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 439-8246Accepts New Patients: YHospital Affiliation: N/A*

Hartland

Pediatric Dentistry

ROSE, Ronald B.Ronald B Rose(262) 367-8595Prov. No.: 000012747810530 Hartbrook DrHartland, WI 53029Language: EnglishGender: MaleNPI: 1912014531License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls


RIESCH, Terrence J.Dr Terrence J Riesch(262) 253-6588Prov. No.: 000000683638N89W16785 Appleton AveMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1417049743License: 4287-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WALLOCK, Robert A.Elmbrook Oral & MaxillofacialSurgery(262) 251-1992Prov. No.: 000000002742N96W18221 County Line Rd �Menomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1952599573License: 413815License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 251-2856Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

OSTDICK, Wayne W.Deerwood Orthodontics(262) 502-0605Prov. No.: 000012786120N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1528170867License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*


Menomonee Falls (Cont.)

Pediatric Dentistry

FROEHLICH, StephenForward Dental(262) 255-2727Prov. No.: 000000270402N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: MaleNPI: 1104973643License: 5001806-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

SHETTY, VijayalakshmiForward Dental(262) 255-2727Prov. No.: 000000670577N80W17707 Custer LnMenomonee Falls, WI 53051Language: EnglishGender: FemaleNPI: 1215094750License: 5289-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 255-3903Accepts New Patients: YHospital Affiliation: N/A*

Mukwonago

Endodontist

STOVER, SheilaAccess Endodontics Llc(262) 363-2715Prov. No.: 000012538010525 Bay View RdMukwonago, WI 53149Language: EnglishGender: FemaleNPI: 1922217769License: 496515License Type: DBP DentistBoard Certified: YEmail: [email protected]: (262) 363-2716Accepts New Patients: YHospital Affiliation: N/A*




Mukwonago (Cont.)


SCHMIDT, Joseph M.Oral and Maxillofacial SurgeryA(262) 368-2980Prov. No.: 000000180742320 Bay View RdMukwonago, WI 53149Language: EnglishGender: MaleNPI: 1912014697License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail:Fax: (262) 363-1939Accepts New Patients: YHospital Affiliation: N/A*

Muskego

Orthodontist

BUBON, Michael S.Kersden R Rozny Dds(262) 971-0910Prov. No.: 000000372405W188S7830 Racine Ave Ste300Muskego, WI 53150Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

New Berlin

Endodontist

WARREN, ShobhaForward Dental(262) 641-0056Prov. No.: 00000033908715100 Library LnNew Berlin, WI 53151Language: EnglishGender: FemaleNPI: 1023165560License: 4439-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*


New Berlin (Cont.)

Pediatric Dentistry

SHETTY, VijayalakshmiForward Dental(262) 641-0056Prov. No.: 00000033424315100 Library LnNew Berlin, WI 53151Language: EnglishGender: FemaleNPI: 1215094750License: 5289-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 641-0058Accepts New Patients: YHospital Affiliation: N/A*

Oconomowoc


BEST, Joseph A.Memorial Hospital ofOconomowo(262) 569-9400Prov. No.: 000012748334791 Summit AveOconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1881702439License: 5117-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CONNOR, Kevin J.Memorial Hospital ofOconomowo(262) 569-9400Prov. No.: 000012748293791 Summit AveOconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1174733588License: 6201-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Oconomowoc (Cont.)


HOLZHAUER, Donald P.Memorial Hospital ofOconomowo(262) 569-9400Prov. No.: 000012748719791 Summit AveOconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1184732869License: 4852-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SCHMIDT, Joseph M.Oral and Maxillofacial SurgeryA(262) 567-9167Prov. No.: 000000077219785 Summit Ave Ste 302Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1912014697License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

BUBON, Michael S.Michael S Bubon Dds Ms &Associates Sc(262) 522-7447Prov. No.: 0000003255831253 Corporate Center Dr �Oconomowoc, WI 53066Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*


Oconomowoc (Cont.)


ROZNY, Kersden R.Bubon & AssociatesOrthodontics Sc(262) 569-7447Prov. No.: 0000125369491253 Corporate Center DrStop 2Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1750692257License: 6660-15License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

NIEDZIELA, Amy G.Alison Teske Dds(262) 244-0288Prov. No.: 000012701581175 E Wisconsin Ave Stop4Oconomowoc, WI 53066Language: EnglishGender: FemaleNPI: 1588861256License: 6150License Type: DBP DentistBoard Certified: YEmail:Fax: (262) 244-0290Accepts New Patients: YHospital Affiliation: N/A*

Pewaukee


ALALAWI, Ejlal J.Dcp of Delafield Llc(262) 691-4140Prov. No.: 0000121802731300 Capitol Dr Ste APewaukee, WI 53072Language: EnglishGender: FemaleNPI: 1356645634License: 6477-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Pewaukee (Cont.)


MCABOY, Christopher P.Christopherp Mcaboy(262) 696-9559Prov. No.: 000012187881125 W Wisconsin Ave Ste 1 �00Pewaukee, WI 53072Language: EnglishGender: MaleNPI: 1003823436License: 5603-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 696-9569Accepts New Patients: YHospital Affiliation: N/A*

Orthodontist

TAMMI, Maria E.Maria Tammi Dds(414) 691-1987Prov. No.: 0000002739311285 Sunnyridge RdPewaukee, WI 53072Language: EnglishGender: FemaleNPI: 1619924438License: 3694License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Waukesha

Endodontist

MEHROTRA, AnushreeAdvanced Dental Specialists(262) 886-1300Prov. No.: 000012185929W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1265867006License: 7178-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 963-0413Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)

Endodontist (Cont.)

SHARMA, HimanshuAdvanced Dental Specialists(262) 886-1300Prov. No.: 000012030926W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1477801033License: 6924-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 963-0413Accepts New Patients: YHospital Affiliation: N/A*


BEST, Joseph A.Waukesha Memorial Hospital(262) 928-1000Prov. No.: 000000373136725 American AveWaukesha, WI 53188Language: EnglishGender: MaleNPI: 1881702439License: 5117-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BEST, Joseph A.Prohealth Aligned(262) 547-8665Prov. No.: 0000127483281111 Delafield St Ste 100Waukesha, WI 53188Language: EnglishGender: MaleNPI: 1881702439License: 5117-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)


CONNOR, Kevin J.Prohealth Aligned(262) 547-8665Prov. No.: 0000127482011111 Delafield St Ste 100Waukesha, WI 53188Language: EnglishGender: MaleNPI: 1174733588License: 6201-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOLZHAUER, Donald P.Waukesha Memorial Hospital(262) 928-1000Prov. No.: 000000077224725 American AveWaukesha, WI 53188Language: EnglishGender: MaleNPI: 1184732869License: 4852-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HOLZHAUER, Donald P.Prohealth Aligned(262) 547-8665Prov. No.: 0000127486511111 Delafield St Ste 100Waukesha, WI 53188Language: EnglishGender: MaleNPI: 1184732869License: 4852-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)


KIMMEL, Alan A.Dr Sheppard B Mollick & DrMark J Kortebein(262) 798-0800Prov. No.: 00000034302420611 Watertown Rd �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1760576128License: 5969License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 798-0851Accepts New Patients: YHospital Affiliation: N/A*

KIMMEL, Alan A.Dr Sheppard B Mollick & DrMark J KortebeinProv. No.: 00001306282620611 Watertown Rd Ste AWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1760576128License: 5969License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KORTEBEIN, Mark J.Oral Surgery Associates ofMilwaukee Sc(262) 241-0900Prov. No.: 00000003746920611 Watertown Rd �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1336233790License: 4130-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 798-0851Accepts New Patients: YHospital Affiliation: N/A*




Waukesha (Cont.)


MEHRABI, MehranAdvanced Dental Specialists(262) 886-1300Prov. No.: 000000679117W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1033211099License: 6344-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 963-0413Accepts New Patients: YHospital Affiliation: N/A*

NOVAK, Timothy S.Waukesha Memorial Hospital(262) 928-1000Prov. No.: 000000285925725 American AveWaukesha, WI 53188Language: EnglishGender: MaleNPI: 1194832824License: 4362-15License Type: DBP DentistBoard Certified: YEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PASTUOVIC, Milan N.Dental Assocaites(262) 436-3363Prov. No.: 0000128713201211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1932106689License: 5366License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)


RADOVAN, Andrew I.Aspen Dental(262) 524-9000Prov. No.: 0000127002422320 E Moreland Blvd Ste �AWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

SCHMIDT, Joseph M.Oral and Maxillofacial SurgeryA(262) 547-8665Prov. No.: 0000000772221111 Delafield St Ste 222Waukesha, WI 53188Language: EnglishGender: MaleNPI: 1912014697License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WILSON, Bernadette L.Dental Assocaites(262) 436-3363Prov. No.: 0000130696191211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1861592529License: 5239License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)

Orthodontist

BRANSHAW, NicolasDental Assocaites(262) 436-3363Prov. No.: 0000129402561211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1326597238License: 1001398License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

BUBON, Michael S.Michael S Bubon Dds Ms &Associates Sc(262) 522-7447Prov. No.: 00000037239921680 W Bluemound Rd �Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1265497564License: 4015License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (262) 522-7448Accepts New Patients: YHospital Affiliation: N/A*

DESROCHES, Megan S.Dental Assocaites(262) 436-3363Prov. No.: 0000124810621211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1093955254License: 640315License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)


WARNER, Gary A.Dental Assocaites(262) 436-3363Prov. No.: 0000126390991211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1437464377License: 1001650-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

WURM, Bradley J.Dental Assocaites(262) 436-3363Prov. No.: 0000126434691211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1790172435License: 1001447-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

Pediatric Dentistry

AREF, SarahDental Assocaites(262) 436-3363Prov. No.: 0000124677181211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1275977621License: 100138215License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*




Waukesha (Cont.)


FROEHLICH, StephenForward Dental(262) 542-8880Prov. No.: 000000311296W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: MaleNPI: 1104973643License: 5001806-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (262) 542-9225Accepts New Patients: YHospital Affiliation: N/A*

GOODELL, Laura E.Dental Associates Ltd ofWisconsin(262) 436-3363Prov. No.: 0000127758001211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1346535002License: 1001695-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

THIRUMALA, Geetha D.Dental Assocaites(262) 436-3363Prov. No.: 0000129961381211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1558560185License: 1001749-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)

Periodontist

HASSAN, Joshua M.Dental Assocaites(262) 436-3363Prov. No.: 0000128148451211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1184084055License: 1001750-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

NIKOLOVA, GerganaDental Assocaites(262) 436-3363Prov. No.: 0000131200721211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: FemaleNPI: 1902323298License: 1001928License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

PROTOPOPOVA, MarinaAdvanced Dental Specialists(262) 886-1300Prov. No.: 000012824183W231N1440 Corporate Ct StE 211Waukesha, WI 53186Language: EnglishGender: FemaleNPI: 1396160834License: 1001472-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (414) 963-0413Accepts New Patients: YHospital Affiliation: N/A*


Waukesha (Cont.)


STOIANOVICI, CharlesDental Assocaites(262) 436-3363Prov. No.: 0000128973851211 Dolphin CtWaukesha, WI 53186Language: EnglishGender: MaleNPI: 1245614734License: 1001810License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (414) 808-3098Accepts New Patients: YHospital Affiliation: N/A*

WINNEBAGO COUNTY

Menasha


STEVENS, Timothy W.Oral Surgery Associates ofWisconsin(920) 722-6729Prov. No.: 0000125288001155 Wittmann DrMenasha, WI 54952Language: EnglishGender: MaleNPI: 1164416731License: 7197-15License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (920) 722-0542Accepts New Patients: YHospital Affiliation: N/A*


Oshkosh


RADOVAN, Andrew I.Aspen Dental(920) 233-3500Prov. No.: 000012700275404 S Koeller StOshkosh, WI 54902Language: EnglishGender: MaleNPI: 1548226111License: 1001492License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

WOOD COUNTY

Marshfield

Orthodontist

MEINHARDT, Carl F.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000000269836306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1871542696License: 2789-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



WOOD COUNTY (Cont.)

Marshfield (Cont.)

Pediatric Dentistry

HORTON, William C.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000000268276306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1811946239License: 5901-15License Type: DBP DentistBoard Certified: YEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KLEINHEKSEL, BrandyDental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012845816306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: FemaleNPI: 1619354891License: 1001500License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KWARCIANY, Donald A.Dental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012144134306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1023118973License: 4883-15License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

WOOD COUNTY (Cont.)

Marshfield (Cont.)


SHEA, JohnDental Clinic of Marshfield Sc(715) 387-1702Prov. No.: 000012535012306 W Mcmillan St �Marshfield, WI 54449Language: EnglishGender: MaleNPI: 1982719951License: 3034-15License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*



ABBAS, Komail.......2, 11, 45, 52,81, 89, 114, 122, 126, 141, 186ABDELRAHIM, Adham F. ....42,45, 64, 132, 146ABDOLISERESHKI, Hooman .....................................2, 20, 89, 146ABELL, Megan L. ....................20ABRAHAM, Reena .................73ACHANTI, Shalini ................122ADAMCZYK, Raymond J. ...134ADL, Mohamad...............86, 170AGARWAL, Chetan ..............131AGNES, Alison A. .............1, 122AHMAD, Naheed..................144AICHER, David J.....................76AIELLO, William G.................53AKHRAS, Yamen M..............144AL OBAIDI, Mustafa ..............53AL RAWI, Zahra H.........86, 170,184ALALAWI, Ejlal J. ........218, 223,237, 239ALBERTI, Hana ...81, 83, 89, 112AL-BITAR, Sara Y. ...................89ALBRECHT II, James A........168ALDRIDGE, Thomas C...........50ALKHADER, Feras .................51ALKHANDAK, Iman......89, 117ALSAMARRAIE, MohammedM. ...............................................89ALSHEHABI, Hassan ..3, 45, 53,81, 126, 141AMBROOKIAN, Henry N. ..237ANDERS, Neil........................129ANDERS, Nicholas................204ANDERSON, Charles C. ........81ANDERSON, Deanna J...........90ANDERSON, Dennis R. .........90ANDERSON, Matthew S......144ANTONOFF, Kenneth E........64,90, 134APELGREN, Jayce E. ..............42AREF, Sarah............................241ARIF-HOLMES, Lakisha N...90,114ARIZA, Richard......3, 45, 53, 81,126, 141, 186ARNOLD, Peter B. ................163ARSHAD, Omar F. ..................90ARTS, Rachel L. .....................122AUGEND, Arsalan.......3, 20, 53,90, 135, 146AUMANN, Michelle R. ..........90AUST, Natalija..........................53AZAB, Sameh E. ....................135AZAD, Koushan H.......3, 20, 53,90, 135, 146AZENABOR, Okwuchi N. ....90,129, 146AZIZ, Zainab..........................135BACHMAN, Andrew R........147BAFUS, Paige T. .................18, 80BAGGOTT, Timothy C............90BAGGOTT, William R.............91BAILEY, Tamara L. .......2, 66, 73,74, 76, 132, 144, 156BAKER, Emily........................180BAKKE, Steven P. ....................61BALL, Amanda A. .............2, 122

BALLARD, Mary l........198, 225,237BALLINGER, Laureen M. ........3BANKS, Daniel ......................167BANSAL, Shobhit..................144BARANEK, Elizabeth .....42, 144BARNES, Emily T. ...................40BARSAMIAN, Tarkis B.........186BARSNESS, Angie M. ...151, 154BARTA, Joseph P......................53BARTLETT, Michael S.............91BARTOLOMEI, Jose L. ...........86BARTOSZ, Mark A................164BASS, Jamie L.........................186BATH, Kristina M..........127, 168BAUER, Christian W.......83, 181BAUMGARTNER, Jacob C. .........................................................195BAUMGARTNER, Mark H..................................................204, 216BAYE, William J. ....................122BEARD, Scott J. ........................87BEARJAR, Vincent E. ..............76BECHARD, Kristine K......14, 42BECHERER, John C.................91BEHLMER, William D. ...........91BEHM, Bryan J...........53, 91, 232BEHM, James C......................147BEHNKE, Joshua J.................132BEHRENS, Leroy...........3, 42, 61BEINLICH, Tyler G. ..............234BELARDI, David W......212, 218,228, 232, 235BELL, Gregory D. ..................220BELOW, Alison B...................168BENISH, Jaclyn L.....................51BENNETT, Christina M. ........67,158BERGAN, Brian R............42, 131BERGER, Mark E. ....................91BERGHUIS, Ashley F. ...........135BERNDT, Amanda M............175BERO, William J.......................68BERRYMAN, John M..............20BEST, Joseph A...............239, 240BETHKE, William D................42BHALLA, Divya ......................13BHARATKUMAR, Aditi ........18BHATT, Dhelni T. ....................91BHATT, Nikhil R......................46BHATTAL, Gaganpreet K......60,112, 135BHIMIREDDY, Silpa .......91, 128BHIMJI, Sanaa N. ...3, 21, 53, 91,135, 147BIEDERWOLF, Eric W. ........170,186BIEL, Warren F. ........................91BIMARTHI, Savita..3, 21, 53, 91,135, 147BINNINGER, Edward P. ........91BINNINGER, Edwin A...........92BINNINGER, Matthew S. .....92,175, 181BINZAK, Daniel E...........73, 122BIRR, Elizabeth R. ......66, 73, 76,156BITTAR, Eyad ..........92, 135, 174BJORK, Jacob............................21

BLAKLEY, Alicia N. ................92BLOCHER, Brian J.................219BLOCKI, William G...............118BLUMENTHAL, Robert J......52,144BOETTCHER, Daniel ..............68BOETTCHER, Mark R. .........170BOLDEN, Kimberley ............144BOLEK, Margaret T. ..............112BOSWELL, Charles .................66BOTSFORD, Brandon N........40,151BOTTS, Anna F.........................17BOWDEN, Akintunde A. .......92BOWEN, Brittany E.................21BOYD, Timolin L. ............92, 114BOYER, Scott T.......................176BOYSEN, Joseph H. ..........37, 51BRAAKSMA, Christabelle E..............................................18, 21, 32BRADLE, Mark..14, 42, 145, 161BRADLEY, Robert D. ..............21BRANDENBURG, Leigh A. .........................................................201BRANSHAW, Nicolas ..201, 202,211, 213, 217, 220, 224, 226, 227,231, 241BRAUN, Justin .......................127BREECHER, Edward T. ..81, 164BREWER, Jason A....................21BRIESE, Jacob R. ....................195BRILOWSKI, David G. ...51, 171BROCK, Lynne A......53, 92, 129,147, 158BRODEK, Adela J. ...................92BROKENSHIRE, Caitlin M. ...87BRONSKI, Robert J.......198, 202,203, 209, 210, 212, 216, 229, 230,234BROOKES, Edwin S. .....114, 176BROPHY, James E.........176, 181,186BROTKOWSKI, Eddie K. ....210,237BROWN, David J.......52, 73, 193BROWN, Michael J. ...42, 61, 118BROWN, Natalie ..11, 46, 54, 81,122, 141, 186BROWN, Patrick D....................1BROWN, Pierce J. ....................35BROWNING, Christopher G. ..............................................152, 154BRUCE, Paul E...........16, 75, 195BRUCHS, Thomas ...................92BRUINOOGE, Michael M. ...154BRUMM, Catherine.................21BRUMMETT, Mary F...............61BRUNNER, Brandon A.........171BRUNNER, David J...............129BUBON, Michael S. ......212, 217,220, 224, 238, 239, 241BUCHANAN, Edward A. .......2,60, 158BUCHANAN, Melanie K. ......76BUCHHOLTZ, William A. .....51BUDDE, Margaret ...................21BUDI, Andrew N. ....................35BUI, Duc T. ...............................21BURANT, Anthony M. ...92, 128

BURES, Daniel........................114BURGE, Vickie L......................12BURGER, Brittany D. ..............34BURKHARDT, Michael A. .....87BURNS, Casey L. .....................93BURNS, Nathaniel H. ...........186BUSHONG, Aaron J. ...........3, 76CAIATI, Michael P. ..................81CAIRNS, John E.......................46CALDER, Todd G. .................193CALLEIA, Gregory C. .....68, 93,158CAMPBELL, Steven W. ........141CAPUTO, William A...............46CARLSON, Sarah L.......152, 154CARLTON, Kyle E.....................1CARMICHAEL, Kimberly E..........................................................80CARRANZA, Kathleen M....176CASEY, Thomas P. ...................93CASPER, Mary S......................81CASTEEL, David .............22, 146CASTLEBERRY, Kevin D. ......50CHAHIL, Jasjot ........54, 135, 181CHAMBERS, Mark E. .............40CHAMBERS, Robert L..........180CHAMBERS, Sarah D. ............41CHAMPION, Jeffrey ...............39CHANANA, Sumit .........93, 135CHANDOK, Sham S. ..............93CHANG, Youngchi.........22, 165,171CHANTELOIS, Casey A.......132CHARAPATA, Thomas F........93CHARGING, Mallory .....76, 132CHATTERJEE, Soumen ..........17CHAUDHRY, Munir A. ..........93CHAUHAN, Shalabh ..3, 22, 54,93, 135, 147CHEN, Jeffrey...........................93CHEN, Xiaoqi .........3, 46, 54, 94,122, 142, 187CHIERA, Edward J................145CHILDS, Eric T.......................126CHING, Leesa K. .............76, 132CHINTALA, Anusha...............42CHO, James K. .......................176CHOI, Catherine K.......198, 202,203, 209, 210, 212, 216, 229, 230,234CHONG, Euiyoung...............2, 3CHRISTIAN, John P. .............193CHRISTIANSON, Nicholas ...22CHRISTMAN, Blane R. ..........41CHRISTMAN, Rena J......14, 203CHRISTOPHERSON, Abbey L.......................60, 68, 112, 136, 158CIEPLUCH, Randy R..............94CLANCY, Patrick T................115CLARE, Samantha S......152, 153CLARK, Charles L.........152, 154CLAUSIUS, Michael C. .........112CLEMENS, David L. ...............17CLEMENS, Nicole M. .............17CLIFFORD, Amanda M.......176,181COAKLEY, James R...............117CODY, Sara E. ........................152COEN, Timothy J...................195

244 ALPHABETICAL INDEX

COLOSIMO, Peter P. .............114COLVIN, Michael J.....61, 62, 64,161CONNELL, David M. .............54CONNOR, Colleen E. ...........217CONNOR, James D...............167CONNOR, Kathryn C...........187CONNOR, Kevin J. .......239, 240CONROY, Kathleen E. ..........180COOK, James L........................87COOPER, Jeffrey S......22, 35, 37,38COPPS, Melissa J. ....................62COSTELLO, Michael L. ........114COTEY, Judie V. .....................182COUILLARD, Christina C. ....80COVELLI, William A. ...128, 168COX, Samantha T. .........132, 168CRANE, Joel .............................17CRAWFORD, Patrick J............54CREGO JR, Donald F. .....39, 167CREWE, David J. .....................54CRISTI, Ivona.......................4, 68CRONKRITE, John G.......73, 74,76, 157CROWLEY, Micah J...............201CRUTHERS, Aaron E............136CULLIGAN, Matthew ............68CULVER, Paul G....................171CZUBKOWSKI, Gary W.........94DACOSTA, Michelle N.......4, 94DAHL, Christine L. .................50DAILY, Nathan L. ..................192D’AMOUR, Aimee M..............38DAMROW, Michael ..............192DARGA, Michael E. ..............166DARLING, Robert P. .............158DARNIEDER, Maura R. ........68,158DAVIDOVICH, Kenzie G. ....182DAVIS, Bruce K........................62DAVIS, Joshua.......212, 218, 228,233, 235DAWOUD, Yaqin M................94DE CZITO, Brigitta M.............68DE LEON ANDRINO, Morris J...........................................115, 187DE PONS, Samantha L. ..........81DEAN, Jeffrey K.......................86DEATON, Allen B....................94DEGRAVE, David J. ..................4DELANGHE, Christine ..........42DELF, Jonathon E.......................1DEMILLE, Steven B. .........66, 76DEMORROW, Danielle M...128,168DENDINGER, Susan E. ....22, 34DEPLEDGE, Timothy .............94DESAI, Ekta............................142DESAI, Sajan .........11, 46, 54, 82,126, 142, 187DESIMONE, Alfred J. .............68DESROCHES, Megan S. .......241DETARI, Brian D. ...4, 62, 66, 68,119, 120, 161DEUTSCHMANN, Edward..43,193DEWOLF III, John B..............120D’HONDT, Michael T. ............62

DICHRAFF, William M.............4DILLARD, Kurt A. ................161DILLMAN, Robert C.....164, 165DINGMAN, John T. ................62DISTEFANO, Michelle............54DITTBERNER, Jordan G.......132DIX JR, Christopher R...........171DOBAK, Endre.........................87DOERING, Jason C. ................43DOMEYER, Alan ...........118, 161DOMRES, Stephen M............168DONGRE, Stuart N. ........81, 184DONNELLY, Terrance.............22DONOHOO, Michael W.........94DONOWA, Carlton L..............54DORSCH, Casey ....................2, 4DOUBLEDAY, Keith J. ..........166DOVORANY, John M. ..231, 235DOW, Steven ......................17, 34DOWDEN, Ellen....................168DOWLING, Thomas M. .......193DREGER, Ross A. ....................74DUBE, Nomuhle S.................122DUBESTER, Gary ..................193DUDLEY, Ronald L. ..............193DUENK, Jeffrey J. ..................157DUEVEL, David C.................210DUFRESNE, Aline .................232DULDE, Ryan C.....165, 179, 182DWAN, Nicholas K. ................82DWYER, Robert A. ..................12EBENHOCH, Cynthia L. ......187EBY, Stacey A. ..........................51EDINGER, Blake J..........119, 120EGAN, Ronald .........................68ELAVIA, Upali .................61, 143ELCANO, Paul M..................136ELCHEKHA, Houssam ..94, 141ELDRIDGE, Tom ..54, 83, 86, 94,147, 166ELLIOTT, Patrick .....................22ELLIS, Charles L. ...........198, 216EMANUEL, David J. .............122EMERY, Allison L. .................136ERCK, Carl F...........................171ESERKALN, Catherine A. .....95,134ESHLEMAN, Kelsey J...........155ESPINOSA, Ernesto ..............166EVANGELISTA, Maylani B..........................................................231EVERSON, Kyle P..................191EXNER, Thomas W. ................95EZEOKEKE, Emeka A. ...........76FAHEY, Dennis J. .....................54FARD, Rambod S.....................23FARMER, Wade .......................49FARRELL, Julie ..........................4FAUST, Michael J........23, 55, 87,95, 123, 136, 147, 171, 174, 176,181, 182, 187FAWSON III, Paul C..............187FELKNER, John L.......73, 74, 77,79, 157FERENTCHAK, Kenneth .....115FERNANDEZ, Pablo A...........95FERRARO, Joseph C. ...2, 23, 66,73, 77, 132FERREIRA, Michael D. .........236

FERRIS, Jacob W. ...............39, 40FEUILLERAT, Jay ..................131FICK, Brian T............................23FINK, William ..........................95FISHER, Michael C..................50FLAVIN, Joshua S....................77FLEMING, Nathan H..............43FLEYSH, Klara .........................95FLINK, Dara T............................4FLOOD, Tim...........................215FLOROS, Casey J. ..............46, 49FOLCHERT, Joshua J. ...........133FONTAINE, Gerard D. ...........95FORCIOLI, Laurent J. ..4, 46, 55,82, 126, 142, 176, 187FOSTER, Katarina K................77FOX, Joan L. .....................52, 192FRECHETTE, Lisa ...................12FROEHLICH, Stephen.........218,237, 238, 242GABRHEL, David C..............134GABRIELSEN, Eric J. ............123GAINEY, Timothy .....68, 69, 158GAJEWSKI, Christy A. ...........79GALLMAN, Nicole M. ....23, 32,38GAMS, Kevin C. ..............49, 233GARCIA, Reyna G. ...69, 95, 158GARRO, Kyle J.........................51GATZKE, Gerald O. ..............131GAUTHIER, Benjamin J. .......73,77, 157GEIGER, Kenneth E. .......96, 158GELLER, Zolya ........................96GEQUILLANA, Glenn L. .......96GERDIN, Lauren ...............14, 43GESKER, Richard ......................4GIANNELLI, Carolyn M. .......62GIBSON, Michael D. ....1, 16, 66,75GILLINGHAM, Cary J............51GILMORE, William ...............147GIMENEZ, Sheila T. ..............176GINSBERG, Darrell R. ..............4GLOYECK, Alvin...................117GMEINDER, Lori M..............155GODAR, Dennis E.....16, 75, 195GOEKE, Chad M. ............46, 168GOLLA, Swathi ...............96, 128GOLLON, Roger....................132GOLOVIN, Alicia ....................96GOLOVIN, Michael P. ............96GOMEZ, Paula..4, 23, 55, 82, 83,87, 96, 123, 136, 147, 171, 174,176, 179, 181, 182, 184, 187GONZALES, Laurel ..................5GONZALEZ, Cesar D........5, 23,55, 82, 83, 88, 96, 97, 123, 136,147, 171, 174, 176, 181, 182, 185,187, 188GOODELL, Laura E. ......97, 201,202, 211, 213, 217, 221, 226, 228,232, 242GORAL, Michael T. ...............175GORMAN, Robin A. .............115GORODESKY, Roman ............97GRABIEC, Edward J. ....133, 196GRAF DOMEYER, Juliee.....118,161

GRAF, Michelle ......................193GRAF, William J...........32, 35, 37GRAF, Zachary A.......................5GRAGG, Jerry D. .....................97GRANT, John S. .......................80GREATENS, Scott R. .....5, 24, 97GRECH, Alexander W. ...69, 159GREENSLADE, Andrew C. ...62GREENWALDT, Christopher ................................................66, 145GREMBAN, Daniel P. .....62, 121GREY, Suzanne .....198, 202, 203,209, 210, 212, 214, 215, 216, 229,230, 234, 235GRIGSBY, Robert H...............145GRODDY, Steven M................69GRODE, Michael .....................24GROH, Katelyn....5, 62, 161, 196GROSKOPF, Kelly G. ............174GROSS, Jeremy W....................17GRUCHALSKI, Jon R. ..........181GRZYBOWSKI, Richard J.....115GUNASEKERA II, Joseph ..5, 52GUNDERSEN, David F. .........35GUNDERSON, Andrea ..........14GUNDLACH, Donald ..........163GUPTA, Pratik ...........................5GUSTAVSON, Mark..........24, 34GUTTORMSEN, Laura A. ......55HAAG, Christine...24, 32, 35, 36HABBEN, Gregory ............41, 43HADDICAN, Thomas J. .........82HADDOCK, Andrew..............39HAGEMANN, Paul G. ...........51HAGEN, Beth A.......................12HALVERSON, Kristine L. ......62HAMAD, Hamad R. ...............55HAMANN, Brian A. .............146HAMDAN, Monther I. ...97, 117HAMILTON, Bruce P. .............98HAMMER, David..................168HAMMOND, Naa Norkor...123HANKS, Benjamin J. .....214, 225HANKS, Jonathan M. ...214, 225HANO, Noelle .......................176HANSEN, Katie .....................130HANSEN, Michael ................130HANSEN, Michael J..............128HANSON, Wayne ...................18HARDING, Jared J. ...............168HARDY, Desiree T. ..................98HAREID, Kate L. ...........163, 182HARENKE, David L. ..............98HARGER, David J. ........119, 120HARTEAU, Christian T. .........98HARTLEY, Timothy E...........167HARTMAN, Kristen M.........112HARUNANI, Dawood F. .....188HARUNANI, Mohamed F. .....1,24, 41, 134, 146, 156, 185HASSAN, Joshua M. ....201, 202,211, 214, 217, 222, 224, 227, 228,232, 242HASSAN, Zubair U..........60, 69,113, 123, 136, 159, 171HASTINGS, Jennifer ...............41HAUGE, Thomas P................132HAUGEN, Erin M. ..................98HAWES, Nathan M. ................49

245ALPHABETICAL INDEX (Continued)

HAYE, John S. ................147, 148HAYE, Thomas D. .................148HEBERT JR, Thomas J.............43HEBL, Monica M. ............98, 174HEBL, Peter A. .........................98HEFFTER, Benjamin C............82HEHLI, Emily M......................43HEHLI SALONEK, Beth A. ...14HEHLI, Todd A..........43, 66, 195HEIL, Robert ..........................126HEINRICH, Gayle M. ...........171HEINRICH, Geoffrey W. .......98,171HELGERSON, Arthur...........162HELLER, Robert L.................222HENDRICKS, Gary J.............133HENRY, Marilyn C..................24HERGET, James J. ....................39HERRSCHER, Kathleen ..24, 55,83, 84, 88, 98, 99, 123, 136, 148,172, 174, 177, 181, 183, 188HEYDARI, Ellie ...................1, 66HILT, Bruce.....218, 228, 233, 235HIRSCHEY, Kevin M. .......49, 50HITZEMAN, Teresa M. .......123,177HOCHSTRASSER, Johann S. .......................................................163HOFFMAN, Jeremy M. ..........79HOFFMANN, Edward W........5,19, 24, 43, 64, 69, 133, 142, 172,194HOFFNER, Slaton..................117HOFMEISTER, David A. ......180HOFTIEZER, Matthew M. .....50HOLDREDGE, Daryl G. ...........5HOLLAWAY, Leah ................166HOLMES, Peter N. ...60, 69, 113,136, 159HOLMSTROM, Bruce E. ........84HOLSEN, Charles T. .............183HOLSTEEN, Daniel ............5, 69HOLUBOWICZ, Richard ..5, 84,99, 172, 185HOLZHAUER, Donald P. ...239,240HOPKINS, Tracy.........39, 52, 66,145, 148HOPP, Brian P.....................24, 25HORTON, William C. ..204, 215,243HOSTETLER, Matthew A. .....34HOUSTON, Clyde Philip P. .........................................................119HOUSTON, Jairus C..............119HOVDA, Richard ...77, 198, 202,203, 209, 210, 212, 230, 234, 235HUFF, Terry W. ........................55HUGGETT, Nicole L. ............183HUGHES, Kevin F. ..........99, 188HUNTER, Craig J. ...69, 133, 156HURLEY, Amanda L. .......11, 46,55, 115, 123, 142, 188HUSSAIN, Sadaf ....6, 46, 55, 99,123, 142, 188HWANG, Sukhyun .................25IBRAHEM, Marwan N..........115IGWIKE, Emmanuel ...80, 86, 99INGLES, Eugene F. ..................40

IRELAN, Estella A...................99IREY, John P. ...................118, 162ISERMANN, Gregory T.......219,230, 237IYER, Kumar V...............225, 232IYONMAHAN, Karla A. .....119,123JACOBY, Jason R......................19JAEGER, Frederick J................36JAHDI, Neema A. ..................148JAHIMIAK, Joel M. ...............188JAHIMIAK, Karen M. ...........188JANET, David R.......................38JANG, Yeonjae K......................25JANOSIK, Jeffrey ...................142JANOVICZ, Peter T. ................55JAYAPRAKASH, Poornima .........................................................136JAZWIECKI, Thomas R. ..55, 61,82JENNESS, Timothy A............172JENSEN, Guy K. ............210, 237JENSEN, Nathan J. ............1, 153JERRELLS, Deborah M. ..........77JESPERSEN, James ................212JETHWANI, Monica................99JHAWAR, Apurv .............25, 148JOHNSON, Benjamin S. ........99,163JOHNSON, Laura E. ...............18JOHNSON, Leah....................136JOHNSON, Samantha R.......164JOHNSON, Scott R............19, 25JOHNSON, Steven H. ...........131JOHNSON STOECKL, Natalie..................................................183JOHNSTON, Stephen A. .......46,119, 162JOINER, Perry L. .....................73JONASEN, Tiffany L. ........40, 64JOYCE, Lisa C. .........................41JUDGE, Arwinder S. .....133, 164JUNG, Edmund ........56, 84, 100,137, 177JUNG, Ted...............................120KABELE, Andrew..................198KACZYNSKI, Thomas............56KAEFER, Gary L......................13KAMMER, Christian S............32KANE, John M. ......................165KANG, Tae H......6, 56, 100, 134,137, 148KANG, Tae Ho H.....................25KAPOOR, Tarnit S...........64, 148KAPPELMAN, Matthew R. .........................................................123KARIMUDDIN, Sahar A. .....172KARLEN, Joseph ...................100KARLS, Stanley A....................38KARTJE, Karyn T.....................15KASAM, Mohana MuraliKrishna....................100, 128, 137KAUFMAN, Robert J. ..1, 13, 63,67, 69, 162KAUL, Patrick R. ...................100KAUR, Simerjeet...6, 25, 56, 100,137, 148KAWAMURA, Janna K.............6KEEFER, Oliver A....................77

KEELING, David R. ........88, 100KELLEY, Brian P.....................219KELLEY, Thomas C.......222, 238KELLNER, James C...............185KELLY, Patrick .......................225KEMPER, Richard J. ..............141KEMPINSKI, Jason A............100KEMPKEN, Bruce....................61KENFIELD, Mark R. .....137, 164KENNEDY, Susan B. .....124, 188KENNY, Joseph W. ................120KENYON, David J...................41KERR, James A...............152, 155KERTIS, James E. ...................152KEWAYGESHIK, Jane M. .....196KHADER, Ruba .............211, 233KHAN, Mujtaba B. .......6, 25, 56,100, 137, 148KIAIE, Vali ..............................129KILLIAN, Brent A. ..................32KILLIAN, Greg A. ...................32KILLIAN, Kent.........................25KIM, Daniel Y. ..................56, 137KIM, Jinyoung..........................25KIM, Minjung.................100, 137KIM, Sohee .....26, 41, 43, 64, 188KIM, Sylvia ...............................26KIMMEL, Alan A...........229, 240KINDER, Megan....................234KING, Brian M.......................177KIRKPATRICK, Timothy R. .........................................................115KISS, Mihai....6, 26, 56, 100, 137,148KISSNER, Thomas E. .......69, 70,159KJOLSING, Jerome M. ..........153KLASINSKI, Sara...................167KLEINHEKSEL, Brandy.......243KNEEPKENS, Mark J....101, 188KNODEL, Robin D................141KNOPP, Bruno A. ............56, 137KNUTSEN, Nathan H.............80KNUTSON, Gil T. ..................172KNUTSON, Mark R. .............174KOCH, Adam D.................6, 121KOCH, Bradley S...................198KOEHLER, Philip L. .............172KOENIG, David S..................101KOKOTT, Michael I.................37KOLL, Timothy J....................225KOPICKI, Erin N. ....86, 172, 236KORTEBEIN, Mark J....223, 229,240KOTHA, Anusha ...................101KOTLEWSKI, Vy ...................101KOUBSKY, Evan C. .......153, 154KOWALSKI, Andrew J. ........177KOWALSKI, Kenneth J. ........177KOXLIEN, Alisha ..........119, 162KRACHT, Curtis A................195KRAUS, Bart J. .......................165KRAUS, Thomas L. .................47KREAGER, Nathanael J..........64KRISTO, Steven J. .......61, 64, 65,77, 131, 132, 151, 153, 198, 203,204, 209, 210, 212, 214KROL, Jadwiga A. .................101KROLL, Nathan .......................26

KRUEGER, Kyle D. ...............175KRUEGER, Nathan ...............124KUBICA, Joseph E...................56KUFFEL, Joseph...............88, 177KUGELMANN, Annette M. ..84KUKARANS, Krista L. .........121KUNICK, Joe W. ....................169KUSIK, Brandon ....................169KUSIK, Clarence E.........114, 184KWARCIANY, Donald A. ...204,216, 243KWIATKOWSKI, Kurt R. .....128KWOK, Fiona .........................189LA SPISA, Joseph A...............217LABLONDE, Brian P. ............231LABUDDE, Peter C. ..............167LAKAYIL, Anne R. ..................56LALANI, Neela I. ..................174LAMANNA, Abbey M. ....84, 86LAMANSKY, Gregory A. .....210LANG, Jeffrey R. .......6, 117, 127,149, 191, 192, 193LANG, Jenna M. ......................77LANGEBERG, Allen D. ...13, 15,39, 43, 47, 61, 67, 101, 162, 194,197LANGEWISCH, Matthew H........................................................128LANGYEL, Eileen ...................86LARSEN, Vernon ...................192LARSON, Steven J. ................195LASKA, Michael ......................88LAU, Charles..........................235LAWLER, Michael R. ..............40LAWS, Christopher P. .........6, 12LEAMAN, James S. ...............183LECONTE, Jean E....................60LEE, Ja Eun.............................101LEE, Jong S. ..............................64LEE, Robert S..........................207LEHMAN, Allison M............183LEHMAN, Matthew L. .........183LEHNERT, Margaret ...............50LEIST, Marli J. ..................84, 101LEMOINE, David L. .............198LEMOINE, Jason L. ...............199LENTZ, Melissa C. ................115LENZ GALBREATH, KristinM. .....................................113, 180LENZ, Joseph .........................137LENZ, Mary F. ...........38, 61, 144LEVANDOSKI, Daniel J. ......177LEWANDOWSKI, Donald J.........................................................101LIANG, Zhenyu.......................49LIMBERG, Ann M. ................164LIN, Kevin.....6, 26, 56, 101, 137,149LIN, Shawn ...7, 26, 56, 102, 138,149LINDNER, Andrew A...........121LINDQUIST, Kellie D. ..153, 154LIPINSKI, James M. ..............218LLORCA, Dawn M................169LLOYD, Cailyn C. ...................39LLOYD, David G. ..................115LOCH, Kendra S....................189LOIS, Jeremy S. ..............164, 165LONG, Denise..........................77

246 ALPHABETICAL INDEX (Continued)

LONG, Edward R. ...................67LONGE, William G. ...18, 19, 39,156, 183LOOK, John R. .........................15LORSON, Matthew E............206LOVCIK, Ted......................19, 26LUBAR, David M. ...................81LUBET, Dana B. .......................32LUDINGTON, David....214, 236LUDKE, James ......102, 177, 179,189LUECHT, Jason L...................115LUECHT, Roy E. ....................165LUEDTKE, Kenneth F. ..........102LUNDIN, Christina...............180LUNDSTROM, John R..........232LYSAK, Adam ........................130MACHAK, Thomas R...........193MACHGAN, Thomas W. .......44MACHI, Elizabeth...........47, 194MACHI, Grace L....225, 229, 231MACHI, John .........................194MACKEY, Bridget..................182MADANI, Naheed S. ............166MADRECHA, Smriti.............102MAGNUSSON, John C.........185MAHJOUB, Reem..................102MAHLUM, Craig E. ..............166MAHMOOD, Ola R. ....7, 26, 57,102, 138, 149MAI, Jonathan L. ...................102MAJEWSKI, Paul J. .................82MAJOR, Pako M. ...........128, 167MALHOTRA, Anupam .....7, 26,57, 102, 138, 149MALINOWSKI, Mark A...........7MANN, Courtney....................32MANOLI, Sadanand G. ........223MANOS, Marc ....11, 47, 57, 102,124, 142, 189MANOS, Thomas G. .............224MANSOUR, Mohammed A..............11, 47, 57, 102, 113, 116, 126,142, 189MANTAS, Selissa M........66, 145MANTEUFFEL, Adam D. ......77MANTHA, Murthy N...........103MARAKA, Patrick.....................7MARINARO, Carrie A..........149MARITATO, Mario B. .............57MARKENSON, James S. ......103MARKHAM, Adam D. .........169MARKOVICH, David...........169MARTIN, Sarah A. ................185MARTINSON, Laura A. ...........2MASTERS, Joshua H.............180MATA, Felicia S. ....................138MATHEW, Marilyn B..............57MATHIAS, Eugene........177, 180MATT, Jayne M. .....................103MATTILA, Nicholas R. .............7MAUS, James S. .....................191MAUTHE III, William C.........47MAUTHE, William C..............47MAY, Michelle J......................172MAYER, David P....................159MAZUCHOWSKI, Raymond J.........................7, 57, 103, 138, 149MCABOY, Christopher P. .....240

MCCALLUM, Zachary S........18MCCAN, Damon.....................44MCCANN, David E. .............164MCCARTHY, Thomas J. .......103MCCAULEY, Patricia............103MCCLAIN, Kelleen Y........19, 26MCCONVILLE, Timothy F.....26MCCORMICK, Stuart J...........27MCDERMOTT, Sarah C.......204,205, 206, 207, 208MCDONALD, Karla R..........162MCDONALD, Matthew W. .................................................149, 151MCEWEN, Kevin D. ........16, 75,196MCFARLAND, Sara N..........153MCGINN, Kevin....................172MCMURRAY, Geoffrey L. .....57,219MCNEELY, Andrea J. .......16, 75,196MEARS, John..................119, 162MEER, Bradley A.....................44MEHRA, Surinder K. ............113MEHRABI, Mehran.......205, 241MEHROTRA, Anushree .......240MEHTA, Nishit ......................149MEINERZ, Maxwell B. .........179MEINHARDT, Adam J. ........172MEINHARDT, Carl F. ..204, 215,242MEINHARDT, Mark P. .........175MEISTER, Richard D.....211, 233MELBINGER-WAGNER, Julie ....................................................172MELBY, Jessica .........................27MELCHER, Zachary J. ............80MELLO, June......................27, 36MERRILL, Robert S. ................42MERRY, Kyle J........................169MERRY, Timothy J. ................169MESEC, J Charles ..................134MESSER, Michael S. ................47MESSNER, Rodney A. ....74, 133METCALF, Christopher A.....57,164METZLER, Alexander D. .........7MEYER, Ellen R. ........................7MEYER, James P. .......47, 70, 193MEYER, Jonathan R. .........33, 34MEYERS, Christopher J. ......199,205, 225MEYERS, Margita U................84MIELKE, Timothy R......229, 238MIKLESH, Robert M.............133MILLER, Donald V. .......103, 173MILLER, Joann M..............27, 34MILO, Paul M. ...................7, 159MINARD, Elizabeth K. .........180MINDIOLA, Michael J.........219,228, 233, 235MINTEN, Ashley A.......192, 194MISKELLA, Michael J...........199MIYAMASU, Patrick....8, 27, 57,103, 138, 149MIYAMOTO, Courtney R......11,47, 57, 103, 126, 142, 189MOHAMMED, Selma...........149MOLAVI, Sasan .....................138

MOLINA, Carissa A..............103MONTATSKIY, Maksim .........64MOON, Ronald J. ....................19MOORE, Hazel E.....................57MOOS, Jeffrey W..........1, 12, 103MORRISON, Lauren A. ..70, 159MORTON, Linnea E...58, 60, 64,70, 113, 138, 149, 159MOSER, John E. .............159, 164MOSS, Robert E. ......................18MOULTON, Robert G.............51MROCZKOWSKI, Paul C.....117MUDDANA, Praveena.........138MUELLER, Nicholas.............134MUELLER, Richard A.............88MUELLER, Rick M....16, 75, 196MUKHIN, Mikhail I. .............157MUNOZ, Juan S.........................8MUNRO, Scott D. ..................138MURPHY, James F. ................189MURRAR, Inas....11, 47, 58, 104,126, 142, 189MURRAY, Stephen C. ......27, 33,35, 36MUTHUKURI, Geetha R.......19,27, 33, 35, 37, 38MYKLEBY, Geoffrey L. .........104NADI, Tawfiq .................104, 117NADING, Thomas H. ...........236NAEGELI, David G.......152, 155NAJJAR, Anas A. ...........225, 232NASEA, Olga S. .........52, 78, 133NASTASE, Dorina ........8, 27, 58,104, 138, 150NATION, Anthony T...............74NAZZAL, Amjad...................205NEARY, Anne L. ......................79NEGLIA, Michael M. ............116NELSON, Cody J. ..................138NELSON, David E.................139NELSON, Nichols L. .............170NEU, Natalie R. ......70, 104, 116,159NEUSCHAEFER, William B. .......................................................173NEWELL, Brandon E. ..199, 208,215NEWMAN, Bruce G................80NEWMAN, Dale A................218NGUYEN, Lan-Phuong........141NGUYEN, Thao .......................12NICHOLS, Thomas S. .............78NIEDZIELA, Amy G.............239NIEDZIELA, Jeffrey S. ...82, 104,130, 177NIKOLOVA, Gergana ..202, 211,214, 218, 222, 223, 224, 227, 228,232, 242NILES, David C. ...27, 33, 36, 38,157NIXON, Dale T...............131, 134NODING, Kristina E. ..............13NORDEEN, Derek B. ............212NOROVICH, Stephen N.......141NOVAK, Timothy S...............241NOWEDER, Ahmad ...............60OBOIKOVITZ, Matthew J. .....28O’BRIEN, Daniel R. ...........19, 28OCHOA, Pedro R. .................104

OCHOWICZ, Lynelle M.......104OCHSNER, Cameron..............33OCHSNER, Richard J..............65OEHLKE, Brieanne M.....35, 156OH, Hyun ...............................189OKSIUTA, Jay M....................139OKTENER, Ayse ....................104OLDRIDGE, Megan ................19OLNEY, Courtenay L. .............70OLSEN, Fred K. ....212, 219, 229,230, 233, 235OLSEN, Joseph E. ..................194OLSON, Mark G. ...................155OMAR, Hamza .......84, 104, 139,166, 189ONELA, Andrew S.......166, 169,189OPHEIM, Kara L. .........8, 28, 70,104, 150OSGOOD KOTLEWSKI,Kristin L. .................124, 143, 189OSTDICK, Wayne W. ............238OSTRAND, Gina F.................185OTIS CZECHOWICZ, Emma L...............................................41, 44PACK, Randall C. ....................87PAFFENROTH, Trenton J. ....127PAGE, David A. .....................131PAGE, Michael .......................131PAGENKOPF, Jon J. .......84, 104,105, 177, 180PAJEK, Jolanta M...................124PALMER, Debra S. ................139PALMER, Richard E. .............139PANCZYSZYN, John M. ........60PANOS, George C. ................105PAPE, Richard J.......8, 11, 47, 58,82, 105, 116, 124, 127, 143, 190PARIS, David A..............105, 175PARK, Aidan .........8, 28, 58, 105,139, 150PARK, Jeong Eun E. ................65PARK, Joon-Jae ........80, 180, 186PARK, Sunjoo........8, 28, 58, 105,139PARKER, Brent D. ...65, 119, 162PARKER, Michelle.........152, 155PARMAR, Vijay S. .................199PASS, David A............................8PASTUOVIC, Milan N. ........199,201, 210, 213, 217, 219, 225, 227,231, 241PATCH, Kyle D. .....................128PATEL, Amit M......................105PATEL, Brijesh D....................116PATEL, Meha..........................145PATEL, Pratik .........................105PATEL, Reema........106, 129, 139PATEL, Reena V. ....................129PATIL, Bharti R. .....................139PATTANI, Amar H. ...............163PATTERSON, Gerald D. .......227PAUKNER, Keith R. ..............116PAULY, Katherine L. .......70, 159PAYNE, Kelly T. .......................44PEARSON, Shayna R. .............49PELSUE, Mitchell W..............206PENWELL, David .............33, 37PEREZ, Celestino F........106, 131


PERRY, James H.................49, 50PERSICH, Douglas J..............106PESCH JR, John F.....................39PETERS, Justin L..............88, 174PETERSEN, Kristy L. ....154, 155PETERSON, Austin M. .....44, 65PETERSON, Danielle ..............52PETERSON, Gary J........120, 121PETTY, John A.......8, 52, 70, 117,120, 121, 127, 150, 157, 166, 192PFLUM, Edward M...............124PFUNDHELLER, Ryan...........44PHILIP, Rita D..........................65PHILLIPS, Lawrence...............40PIACSEK, Stacie A. ...............183PIERCE, Lewis H........13, 44, 67,70, 131, 146PIKE, Danielle L.......................49PILLAI, Ajit V. ........................223PINESCHI, Kenneth V. .........145PLAUTZ, Henry ....................226PLECAS, Dalibor .............28, 181PODOLL, Sara M...............15, 51POHL, Emily A. .........84, 86, 113POHL, Jason J.........................124POLZIN, Edward S. ................12POMERENING, Bruce L. .......18POPA, Mihaela.................58, 150POPELKA, Paul F. .................124PORTER, Brian D. .............28, 34POSER, Timothy J..........224, 236POST, Keith E. ........................173POTRYKUS, Christopher .......85PREHN, Frederick C. ......78, 133PREHN, Ronald...73, 74, 78, 157PRESSWALA, Azim A. .........106PRISTEL-MILLER, Faith C...156PROTOPOPOVA, Marina....206,242PRUST, Rebecca .........................8PULAPAKA, Sirisha.....106, 129,139PURDY, James D....................152QABLAWI, Baha......................70QUINLAN, Dennis P.............124QUIRT, Benjamin D...........67, 78QUIRT, Timothy J. .....67, 78, 124QUIZON, Jennifer A. ....231, 236RAASCH, Christopher T. ......16,75, 196RADOVAN, Andrew I. ........205,210, 214, 215, 216, 223, 230, 233,236, 237, 241, 242RAGONESE, Anthony L. .....224RAHEMTULLA, Habib A. ...106RAHNAMAYI, Roya...............75RAIMANN, Thomas E............88RAKOWSKY, Nina A. ......11, 48,58, 106, 125, 143, 190RAMBOD, Fard .......................28RAMIREZ, Anna....................160RAMOS, Maria ..............130, 183RANA, Suhail A. ...................196RANGNEKAR, Ishan R.....8, 28,58, 106, 139, 150RASMUSSEN, Andrew J. .....125RASMUSSEN, Charles W.....151RAUCH, Christopher J. ..........49RAUWERDINK, Steven L....169

RAZDOLSKY, Richard M....183,185REDDY, Nagaveni M. ...........106REED, John F. ...................70, 160REET KAUR, Raunaq ..8, 28, 58,106, 139, 150REHMAN, Syed S. ..80, 107, 186REHORST, Mark K.....9, 28, 107,165REIGLE, Eric.............................34REISNER, Stephen D. ...........151REMSHAK, Konstanca .........178RESOP, Brian ..........................173REYERSON, Heather ..............63REYES, Michael J. ......2, 125, 133RICKARD, Paul V...9, 40, 48, 58,71, 116, 125, 134, 143, 145, 190,194RIESCH, Terrence J................238RIFFLE, Cynthia M. ......107, 145RINDAHL, Terry L................161RINDELAUB, Darcy J. ..........234RINGWOLSKI, Samantha ......87RITTBERG, Richard D. .........107RIVAS, Adrian A....................140ROBE, Ralph S. ......................182RODRIGUEZ, Carlos M. .......12,48, 58, 82, 127, 143, 190RODRIGUEZ QUESA, Jose A..........................................16, 75, 196ROGGENSACK, Matthew D. ..................................................28, 29ROGNESS, Nicholas M.........167ROLLI, Alysha .........................33ROMANSKI, Jeffrey ......140, 178ROMENESKO, Bradley M. ....79RONNING, Valentina V.......152,155RONQUIST, Kyle R. ................44ROSE, Ronald B. ............222, 238ROSEN, Richard L. ................116ROSEN, Zachary....................116ROSENBERG III, Neal F. .......71,157, 160ROSENBERGER, Melinda......44ROTT, Robin L. ......14, 15, 17, 44ROTTY, Katee...........................44ROUMANI, Wael...................130ROUSH, Eugene D. ...............156ROUTIER, Donald D.....204, 215ROWLAND, Larry D. ...........192ROZENDAAL, Lindsay....19, 29ROZNY, Kersden R. .....212, 220,221, 224, 239RUZICKA, James F...59, 85, 107,178, 190RYAN, Doran .........................237SABEL, Nicholas..............71, 182SAEIAN, Kamyar ..........107, 163SAJAN, Murtaza M. ..............107SALEKI, Ehsan.......................113SALMAN, Dina O. .......204, 206,207, 208SANDBERG, Matthew....59, 116SANDOVAL, Michael A. ......181SANDS, Chris.........................192SANDS, James H. ....................37SANFELIPPO, Lisa L. ..201, 206,213, 221, 231, 234

SANTARELLI, Gregory A. ...140SAPOVADIA, Parimal G. ....204,205, 207, 208, 216SAQA, Rami M. ......9, 13, 18, 19,49, 61, 145SATHER, Nik E..........................1SATULA, Katie A.....................88SAVAGLIO III, Alessandro J. .......................................................107SAWATZKE, Nicole A.............83SCHACHT, Stephen R. .........169SCHAEFFER, Dennis M. ......175SCHAEFFER, James W. ........175SCHARER, Nathan J. ..............78SCHEFF TAIBL, Emily M.....163SCHELL, Joseph A. .................87SCHERRER, Thomas W........140SCHLINDWEIN, Jacob A.....190SCHMIDT, Carleen L. ...........107SCHMIDT, David P. ......210, 237SCHMIDT, Joseph M. ..237, 239,241SCHMIDT, Michael ...............107SCHMIDT, Michael C. ..........134SCHMIDT, Ronald J. .............178SCHMIDT, Zachary J. ...178, 190SCHMOLDT, Steven .............233SCHNEISS, Beau J. ..............9, 78SCHNOLL, Steven R.............108SCHOUTEN, Joseph A. ........125SCHRAMM, Timothy ......29, 33,36, 145SCHROEPFER, Brian G. .........85SCHRUBBE, Theodore G. ....173SCHUELKE, Andrew....127, 130SCHUH, Michael J........199, 209,215, 235SCHULER, Ethan J. ........71, 160,190SCHULKE, Yvonne L. ......73, 74,78, 157SCHULTZ, Corey R.................74SCHULZ, Chad....................2, 78SCHULZ, Sidney B........150, 194SCHUMACHER, John H.....166,173SCHUSTER, Frederica H...9, 20,29, 63, 67, 71SCHWAB, Michael A. ...........117SCHWARTZ, Amanda G........40SCHWIND, Courtney .............63SCHWITTERS, Chadwick ......29SCOTT, Virginia G......18, 38, 50,156SEDIQZAD, Farashta................9SEDLAR, Patrick....................153SEDLOCK, Jeffrey....................63SEFTON, Valerie M. .........60, 71,113, 140, 160, 190SEHRA, Pamela ....9, 48, 59, 108,125, 143, 190SENGER, Daniel L.........9, 48, 67SENN, Matthew J. ...................51SERFLEK, Joseph C........63, 134,203SETNICAR, Joseph M...........184SEUBERT, Aaron............108, 150SEUBERT, Chad R. .......199, 200,209, 215

SEXTON, Cyrena B..................49SEYMOUR, Copelin.......59, 108,117SHARKUS, Joe D. ....................35SHARMA, Himanshu..205, 217,218, 219, 225, 230, 240SHARMA, Jagan N.......108, 117,129SHAY (SOBOLINSKI), Amy M...................................................108SHEA, John.............204, 216, 243SHERMAN, James R. ..............83SHETTY, Vijayalakshmi.......218,222, 238, 239SHIH, Denise Y. ...............88, 229SHIH, Priscilla H. ....................65SHINNERS, Michael K. ........114SHIPLEY, James H...................33SHOWS, William M. .............236SHRESTHA, Avigya..........29, 50SHUMWAY, Christopher......167SIDDERS, Casey D. ...............165SIDHU, Paramjit S.................108SIDO, Abdulcadir ............29, 150SIEHOFF, Mariela G.......80, 108,166SIEKER, Martina......................48SIERRA, Jose A. ........13, 67, 118,218SIMES, Derf A. .......................140SIMONOVICH, Jacob R. ......178SIMONSEN, Arthur R. .........169SINGH, Kiran.........................222SINGH, Shameena.................109SISOMBATH, Jacob.................45SKARIE, William R................109SKARR, Brett C. .....................190SKIBBA, Allen J........................29SKIBINSKI, Emily J. ................83SKUTAK, Lisa M. ....................74SLADKY, Jacob.........................85SMAGLICK, Paul R...............109SMART, Dianne ....125, 169, 178,185SMILEY, Thomas W.................30SMITH, Andrew W................178SMITH, Craig L......................130SMITH, Cristine M. .......184, 186SMITH, Daniel P. ...........109, 175SMITH, David R. ...................125SMITH, Gary M. ....................223SMITH, Margaret A.................36SMITH, Nancy L..............71, 160SMITH, Paul D.......................109SMITH, Tucker C. ....................38SMOLINSKI, Savannah ........109SNYDER, Robert L. ...................9SOBCZAK, Gregory J..............30SOBCZAK, Robert.................130SOBOLEWSKI, James A. .......74,78, 79, 157SOCIAS, Laura M. ...........65, 118SODHI, Reetika......................109SOMMERS, Paul......................52SONDAY, Brent A..................198SONG, Dong ....................59, 140SORENSEN, Gene R. ..............17SORIN, Igor ............................129


SPAIN, Daniel L......9, 45, 67, 71,120, 121, 162SPECHT, Brian J.................85, 86SPIEWAK, Michael J. ..............30SPITZER, Karen D. ..................63SPRUNG, Clifford C..............179SQUIRES, Sarah A.............30, 36SRECA, Tiffany ..................39, 52STACEY, Erik............................30STACEY, John C. ......................30STACKER, Susan A. ......206, 231STAFFORD, Natalie J. ...........143STAI, Douglas G. ...................153STAMAS, Tom A....................184STEGEMAN, Ronald E.........150STEIDLEY, Kenneth E....63, 121,194STEINER, Megan...................174STEINERT, Peter J....................71STELZNER, Randal G...........118STEVENS, Jennifer L.............128STEVENS, Timothy W. ........200,242STOCKHEIMER, Cole J. .........71STOCKINGER, John P...........185STOECKL, Christopher J. .....184STOECKL JR, Clemens K. ....178STOIANOVICI, Charles ......125,201, 202, 211, 214, 218, 223, 224,227, 228, 232, 242STOIBER, Don A....................229STOJANOVIC, Christina...9, 48,59, 83, 125, 143, 190STOVER, Sheila......................238STREAM, Tara F.........71, 72, 160STROMBERG, Barry R..........155STRUPP, Tobin J. ....................173STUMMER, Keith A................59SUAREZ, Cynthia .....16, 75, 196SUEPPEL, James R. ...............162SUKOWATEY, Perry..............116SULIM, Igor..............................87SUN, Wenhui............................79SUPITA, Joel A. ..............120, 121SURAMPUDI, Deeptha ........109SUSARLA, Advaita ...............109SUSLER, Majelle E.................191SUWALSKI, Katharine..........170SWANSON, Brian C..............168SWANTEK, Jason J. .......211, 233SWEARINGEN, Purnima C.........................................................213SWEENEY, Brian S. ...........20, 30SWEENEY, Patrick F. .......17, 30,52, 156SWEIS, Jubrail K. .....................75SYED, Samar B.........30, 150, 173SYED, Tanwir .........................109SYKES, Van W. .........................79SYRJAMAKI, Stephen J. ......110,174SZEWCZYK, Jonathan............33SZMANDA, Paul W.........74, 79,157TABACHNICK, Thomas T. ..226TACK, Suzanne C..................173TADYCH, John R. ..................110TAIBL, Eric .............................173TALEB, Reda ..................200, 216

TAMMI, Maria E....................240TANG, Thomas T...................173TANTY, Kevin T.....................191TANTY, Timothy............110, 178TAQVI, Mohammad ...............48TARPENNING, Sean ..............45TECLAW, Jerome M. .............110TEHLE, Gregory S...........30, 165TELFORD, Vance R. ..............170TEPE, Patrick J. ........................37TERLECKE, Linda J...............110TESCH, Eric P. ........................110TESKE, Alison...30, 48, 133, 170,191TESSENDORF, Erin C......14, 15,45TESSENDORF, John N.....14, 15,17, 45TESSENDORF, Thomas J.......14,15, 16, 45TETEAK, Myles D. ................156THIELEN, Brian M................192THIRUMALA, Geetha D.....201,202, 211, 213, 217, 222, 224, 227,228, 231, 232, 242THOMAS, Walter L....20, 30, 31,33, 36, 37, 38THOMPSON, David C. ..........10THOMPSON, Emily E. ...........10THOMPSON, Robert D. .........45THOR, Alex Ma .......................36THORNTON, Eric R..............113TIBORIS, Dean E. ..........230, 236TIETZ, Ryan W...............152, 153TOLZMAN, Kristi M.............113TONER, Justen J.....................110TOPALIAN, Myron G...........141TOTO, Michael G...........151, 194TOWNSEND, David B.........119,162TOWNSEND, Ronald J...72, 160TRAN, Diep N................113, 191TRAN, John ............................146TRAN, Linh L...................85, 118TRAN, Richard ..................10, 31TRAUL JR, Robert E..............151TRAYLOR, Gwendolyn A. .....15TREGONING, Dennis.............31TRENT, Bret W. ......................194TRENT, Sara M. .............194, 195TRIMBELL, Brandon ........33, 35TRIMBLE, Bruce M. ................41TROUDT, Kristi .....................170TSANG, Bryan .................59, 140TUBIC, Susan .....85, 88, 110, 178UKER, Joseph D.......................63ULLOA, John R......................144UNDERWOOD, Brian J. .......161URBAITIS, Michael J.......85, 144URBANCZYK, Richard .......213,219, 229, 233, 235USS, Michael W........................65UTLEY, Jerry L. ........................63VALERI, Nicholas J. ..............214VALUSEK, James K. ..............110VAN DYKE, Robert J...............10VAN LAARHOVEN, Erika V.......................................................195VAN MILLER, Rebecca P....2, 10

VAN PAY, Rebecca L. ..............12VAN WESTEN, Luciana AliceM. .............................207, 208, 238VANDE WALLE, Torey J. .......65VANDERWOUDE, Jennifer A. ....................................................156VASANI, Rupal S...................203VEERMAN, Brett L. ..........20, 31VERMA, Sachin .......................59VEZZETTI, Mary B. ..............186VISAYA, Christopher M.......111,175, 178, 184VOGEL, Rachael A. ...............130VOLKERT, Lawrence M. ......143VOSSEN, Nicole R...................65VRANEY, Chelsea ...................72VRAVICK, John A. ................214VUDDARAJU, Himabindu..151WACHLAROWICZ, Aaron J. ..............................................230, 234WADE, Donald J. ...................191WAGNER, Elizabeth A. ....20, 35WAGNER, Matthew R. ...........10WAGNER, Richard M...........230WAGNER, Robert....................10WAID, Kory A........................193WALDEN, Bradley C. .............65WALKER, Frederick M. ..........89WALKER, Laurie ....85, 111, 179,191WALLANDER, Constance A. ..................................................13, 48WALLER, Daniel J. .......179, 184,185WALLOCK, Robert A. ..237, 238WALSH, Ashley...............72, 160WALTHER, David ...................31WANEZEK, Jacqueline .........163WANEZEK, Mark............89, 179WANEZEK, Philip M............163WANEZEK, Thomas P. .........163WANGSAWIHARDJA, Felix ...................................................34, 38WAPOTISH, Ronald B. ........151,179WARD, James T. ...10, 48, 59, 85,86, 116, 125, 143, 191WARD, L S. .............................111WARENS, Israel J.....................72WARNER, Gary A. .......201, 202,211, 213, 217, 221, 224, 226, 227,231, 241WARNER, Mark.........80, 87, 114WARREN, Shobha.................239WASLESKE, Ben P. ..................79WASZCZYK, Erin....................31WATKINS, Brian...213, 219, 229,233WEBER, Mathias J. ................173WEBER, Steven L...................125WEENIG, Joshua A. ..............121WEI, Yuqiang..........................114WEINANDT, Anthony E. .....127WEIS, David M. .......................89WELCH, Matthew J. .............154WELLE, Kristina B. .................40WELSH, Gregory W. .............200WERNER, Mark A...................63WERT, Chad J.................153, 155

WERTZ, Michael J. ..................39WERWIE, John M. ....37, 85, 114,130, 170, 179, 180WHALEN, Richard V............175WHITE, Mark A..........10, 31, 59,111, 140, 151WHITE, Robert W..................165WHITE, Yvonne .......................12WIERZBICKI, Patrycja M.......59WIESER, Margaret B. ............146WIGINGTON, Nathan..........121WILBUR, Richard ..................111WILK, Peter F. ........................167WILLDING, Robert S. ....72, 111,160WILLIAMS, Melissa R. .........121WILLIAMSON, Timothy G..........................................................184WILSON, Bernadette L........200,201, 209, 211, 213, 215, 217, 220,223, 226, 227, 231, 241WILSON, Casey.......72, 160, 161WILSON, Katie ......................146WILTON, Jeffrey S. ..................31WINKLER, John F..................141WINTER, Bruce K. .................111WINTER, Richard B...............111WINTER, Scott W. .................129WISNIEWSKI, Kenneth J. .....111WOCKENFUS, Michael........192WOLFF, Douglas S. ...............155WOLFINGER, Megan C. ........13WONG, William G.................118WOODWARD, Christine A.....1,14, 16, 17, 41, 45, 50, 67, 75, 131,154, 195, 196WORTH, Chris M. ....10, 60, 111,140, 151WORZALLA, Sharon P........127,130WOZNIAK, Jerzy E. ..10, 31, 111WRUCK, Larry D. .................182WU, Chun-Ting..................11, 32WURM, Bradley J. ........201, 202,211, 213, 217, 221, 224, 226, 228,232, 241WYLER, Robert......................191XIAO, Dingbo ....................32, 34XIONG, Mai J...........72, 111, 112,161, 195YAKOWICZ, Ryan J. ........18, 63,119, 184YANG, Kwon C. .........12, 48, 60,112, 126, 127, 143, 191YOUNG, David A....................13YU, Boyd.........................112, 129YUENKEL, James E...............182YUN, Jae Hyuk ..............112, 140YUNK, Darrell M...................126ZABKOWICZ, John C...........112ZAK, Daniel K........................127ZALL, Eric S. ..........................179ZAMBITO, Albert J. ......163, 165ZEHM, Arthur D. ....................40ZELKO, Mark R. ....................185ZELLER, Jeffrey G. ................144ZEMKE, Kurt A. ......................50ZENI, Jennifer L.....................140ZENT, Steve A........200, 209, 215


ZHANG, Hai ..........................118ZHANG, Vivienne C.........20, 37ZHU, Jiulin .........................11, 85ZHU, Wendy ..........................112ZIEMER, Jason B. ..........153, 155ZIETZ, Fred E...........................34ZIINO, Robert J........................37ZOCHER, Kent A. .................170


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