Doctors' Denture Systems SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2614 Issued in WI

Legal business name

DOCTORS' DENTURE SYSTEMS SC

Practice address

501 W Lincoln Ave
Milwaukee, WI 53207-1133

Phone

(414) 671-5720

Fax

(414) 671-5745

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Kneepkens, DDS

Title

President

Phone

(414) 671-5720

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Doctors' Denture Systems SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Doctors' Denture Systems SC

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1134312242
  NPD tax ID
• Doctors' Denture Systems SC

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1174715098
  NPD tax ID

Locations

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1043403140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071133",
            "telephone_number": "414-671-5720",
            "fax_number": "414-671-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071133",
            "telephone_number": "414-671-5720",
            "fax_number": "414-671-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS' DENTURE SYSTEMS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KNEEPKENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-671-5720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38372300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Elizabeth Dobard, DO
• Eric Dobbeck, NP
• Amanda Dobberstein, SLP
• Olivia Ellyn Dobbie, SCM
• Sarah Dobrozsi, M.D.
• Doctors' Denture Systems SC
• Doctory360 SC
• Calvin B Dodd
• Tarina Dodds
• Austin Michael Dodge, DDS

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, 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 17, 2008; 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.