Marquette University School Of Dentistry
LBN: Marquette University
Marquette University School Of Dentistry is an health care organization with primary practice located at 1801 W Wisconsin Ave Suite 145 B, Milwaukee WI 53233-2186. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty.
Marquette University can be contacted via phone (414) 288-5902, or through Creamer, Timothy C via phone (414) 288-7485.
Contact Information
Primary practice address
1801 W Wisconsin Ave Suite 145 B
Milwaukee WI 53233-2186
Phone: (414) 288-5902
Fax: (414) 288-8361
Website:
Authorized official contact:
Name: Creamer, Timothy C Doctor of Dental Surgery (DDS)
Phone: (414) 288-7485
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1013937499 |
|---|---|
| LBN Legal business name | Marquette University |
| DBA Doing business as | Marquette University School Of Dentistry |
| Authorized official | Creamer, Timothy C Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Nov 1st, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013937499 | NPPES |
| Wisconsin | MEDICAID | 33360600 |
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