Perry W Sukowatey DDS LTD

Primary specialty

DentistTaxonomy code 122300000X

License

3056 Issued in WI

Legal business name

PERRY W SUKOWATEY DDS LTD

Practice address

2600 N Mayfair Rd
Suite 450
Wauwatosa, WI 53226

Phone

(414) 258-8444

Fax

(414) 258-9121

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Perry Wayne Sukowatey, DDS

Title

President Owner

Phone

(414) 258-8444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1245282367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "SUITE 450 PERRY W SUKOWATEY DDS",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-258-8444",
            "fax_number": "414-258-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "SUITE 450",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-258-8444",
            "fax_number": "414-258-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY W SUKOWATEY DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "SUKOWATEY",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "414-258-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Perchuk, P.T.
• Jennifer Mary Perez, RN
• Performance Chiropractic Center, S.C.
• Performance Chiropractic Clinic, LLC
• Thomas J Perlewitz, MD
• Madalyn Jessica Perry, D.C
• Suncerrae Perry, MSW, APSW, SAC-IT
• Roy Perteet
• Amy K Petersdorf, MA
• Talya Marie Petersik, M.S.

• Dentist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.