Mequon Deer Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEQUON DEER DENTAL, LLC

Practice address

7400 W Brown Deer Rd
Milwaukee, WI 53223-2078

Phone

(414) 354-1160

NPI assigned

Jun 15, 2020

Organization subpart

No

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

Authorized official

Name

Olga Grenova

Title

Dir of Accounting

Phone

(608) 833-2213

Specialties & licenses 1

Addresses

Practitioners 2

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

• Brandon Michael Barrette, DDS

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1427674183
  NPD
• Mark E Berger, DDS

  • Dentist
  • Milwaukee, WI
  • NPI 1134203714
  NPD (past)

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1164047130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W BROWN DEER RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232078",
            "telephone_number": "414-354-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEQUON DEER DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "GRENOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "DIR OF ACCOUNTING",
        "authorized_official_telephone_number": "608-833-2213"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Emergency Center, Inc.
• Carla J Mentink, MS OTR/L
• Sawyer Mentink, PA-C
• Amanda Mentjes
• Linda K. Menzel, A.P.N.P, PHD
• Joan C Mercado, RPH
• Shermeka A Mercer, SAC-IT
• Amina I Merchant, MD
• Kiran Merchant, MD
• Hannah Debra Mercier

• Dental Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.