Pak Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAK DENTAL LLC

Practice address

8241 S Howell Ave Ste 100
Oak Creek, WI 53154-8346

Phone

(414) 762-5200

NPI assigned

Dec 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zubair Hassan

Title

Owner

Phone

(414) 762-5200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mustafa Al Rubaye

  • Dentist
  • Oak Creek, WI
  • NPI 1578308326
  NPD
• Praveena Muddana

  • General Practice Dentistry
  • Oak Creek, WI
  • NPI 1376806893
  NPD (past)
• Yousuf Sirajeldin

  • Dentist
  • West Bloomfield, MI
  • NPI 1801535604
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1023655131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 S HOWELL AVE STE 100",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548346",
            "telephone_number": "414-762-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ZUBAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-762-5200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taya Olson
• Oral Surgery Associates of Milwaukee SC
• Erica Ortiz
• Osl 10507 Oak Creek Operating LLC
• Tracie Pace
• Heidi Erin Papadhopulli, DPT
• Madhavi Parekh, MD
• Peakcartt LLC
• David Roman Pepper, LPC
• Paige Elizabeth Pepper, LPC-IT

• General Practice Dentistry in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.