American Dental Professional Services, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AMERICAN DENTAL PROFESSIONAL SERVICES, LLC

Practice address

9054 N Deerbrook TRL
Milwaukee, WI 53223-2474

Phone

(414) 203-2590

Fax

(414) 354-1945

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terri M Lawler

Title

President

Phone

(414) 203-2590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215074604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9054 N DEERBROOK TRL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232474",
            "telephone_number": "414-203-2590",
            "fax_number": "414-354-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9054 N DEERBROOK TRL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232474",
            "telephone_number": "414-203-2590",
            "fax_number": "414-354-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-203-2590"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Milwaukee, WI
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• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.